Contribution of mammary epithelial cells to the immune response during early stages of a bacterial infection to Staphylococcus aureus
© Brenaut et al.; licensee BioMed Central Ltd. 2014
Received: 6 April 2013
Accepted: 24 January 2014
Published: 12 February 2014
To differentiate between the contribution of mammary epithelial cells (MEC) and infiltrating immune cells to gene expression profiles of mammary tissue during early stage mastitis, we investigated in goats the in vivo transcriptional response of MEC to an experimental intra mammary infection (IMI) with Staphylococcus aureus, using a non-invasive RNA sampling method from milk fat globules (MFG). Microarrays were used to record gene expression patterns during the first 24 hours post-infection (hpi). This approach was combined with laser capture microdissection of MEC from frozen slides of mammary tissue to analyze some relevant genes at 30 hpi. During the early stages post-inoculation, MEC play an important role in the recruitment and activation of inflammatory cells through the IL-8 signalling pathway and initiate a sharp induction of innate immune genes predominantly associated with the pro-inflammatory response. At 30 hpi, MEC express genes encoding different acute phase proteins, including SAA3, SERPINA1 and PTX3 and factors, such as S100A12, that contribute directly to fighting the infection. No significant change in the expression of genes encoding caseins was observed until 24 hpi, thus validating our experimental model to study early stages of infection before the occurrence of tissue damage, since the milk synthesis function is still operative. This is to our knowledge the first report showing in vivo, in goats, how MEC orchestrate the innate immune response to an IMI challenge with S. aureus. Moreover, the non-invasive sampling method of mammary representative RNA from MFG provides a valuable tool to easily follow the dynamics of gene expression in MEC to search for sensitive biomarkers in milk for early detection of mastitis and therefore, to successfully improve the treatment and thus animal welfare.
Mastitis is an inflammation of the mammary gland (MG) commonly caused by bacterial infection. Despite extensive management practices, it continues to be an economically important disease of dairy ruminants worldwide, due to reduced milk yield, milk discarded after treatment and cost of veterinary services . A new challenge today is to reduce the use of antibiotics and treatments by increasing the natural ability of animals to resist infection. This strategy is critically dependent on a better understanding of the host immune response at the early stages of infection. Indeed, the establishment, persistence, and gravity of infection are clearly dependent on the rapidity and effectiveness of the host response against the invading pathogen. Furthermore, clearance of bacterial pathogens from the gland is often governed by responses that occur within immediate hours after initial infection .
At the early stages of infection, the predominant defence strategy that is rapidly induced is the innate immune response. This response is ubiquitous, short acting and targets a range of different microorganisms [3–5]. Cells involved in this innate response are mainly represented by infiltrating neutrophils and macrophages, which are the first cells to be recruited at the site of inflammation . They secrete cytokines, chemokines and use additional cellular defence strategies to kill invading bacteria [7, 8]. However, little is known about the factors involved in this rapid recruitment at the site of infection. Hence, studies have increasingly focused on the mammary epithelial cell (MEC) since it is the first cell to be confronted with the pathogen once it has entered the mammary gland. There are more and more lines of evidence indicating a prominent role for MEC in the initiation of the innate immune response that triggers subsequent neutrophil infiltration into the mammary tissue, the activation of these innate immune cells, and an increase in milk somatic cell count .
However the MEC role has only recently been recognized essentially using in vitro approaches which allow examining the MEC specific contribution to the immune capacity of the udder without the immune cell expression. The effect of different pathogens including Escherichia coli, S. aureus, Streptococcus uberis, and bacterial cell wall components such as lipotechoic acid (LTA) or lipopolysaccharide (LPS)  were tested on different mammary cell lines in either primary isolates of bovine MEC (pbMEC) or MAC-T cells, an SV40 immortalized bovine MEC line [12, 13]. These studies indicate that MEC respond robustly and rapidly to challenges with low levels of bacteria or bacterial cell component and show that MEC is able to generate a variety of inflammatory mediators such as cytokines, chemokines and host defence peptides (β-defensins). However, these reports underlined some limits associated with in vitro experiments and show differences between mammary cell cultures (pbMEC and MAC-T) . Furthermore, cells are studied out of their physiological context and consequently, they do not properly reflect changes in gene expression induced by mastitis in the udder. Thus, a disproportionate increase in chemokines such as CCL5 has been shown between pbMEC and the whole mammary gland . In addition, there is only one study profiling the extents of global changes in the transcriptome of pbMEC during the early stages of infections with E. coli and S. aureus, reflecting in part the kinetics aspects of immune response regulation . Consequently, the role of MEC in the initiation of the innate immune response, in their physiological context and in the very early stages of infection, remains poorly defined.
Recently, we have reported  that substantial quantities of high-quality RNA, coming from MEC, can be isolated from milk fat globules (MFG). This non invasive method allows easy and repetitive sampling without damaging mammary tissue, providing a significant improvement and a valuable tool to assess gene expression of the mammary secretory epithelium during the course of an infection. Furthermore, with the availability of microarray technology, which makes it possible to examine complex interactions between host and bacterial pathogens , it has become feasible to determine the expression of multiple genes simultaneously. We successfully applied this approach to follow the response of MEC early in the infection process of the goat mammary gland.
We report here that MEC rapidly react (a few hours after the experimental infection) by secreting the chemotactic factor interleukin-8 (IL-8), which is known to be one of the major mediators of the inflammatory response involved in the recruitment and activation of immune cells, including neutrophils. Furthermore, we provide strong evidence that MEC specifically expressed several acute phase proteins (APP) such as serum amyloid A3 (SAA3), pentraxin 3 (PTX3) and alpha-1 antiproteinase (SERPINA1). This work also indicates that the production of different APP by MEC, easily detectable from milk in the early stages of IMI, could provide sensitive biomarkers for early detection of mastitis and therefore, to successfully improve its treatment and thus animal welfare.
Materials and methods
Five healthy Alpine goats, at the early peak of lactation (30-40 days of milking), at first parity and without intra mammary infection (IMI) were selected and housed at Centro Zootecnico Didattico Sperimentale of Facoltà of MedicinaVeterinaria (Università degli studi di Milano). Goats were monitored for IMI throughout the lactation period with 3 weekly half udder milk sample analysis before challenge. Bacteriological analyses were based on procedures previously described . Briefly, ten microliters of each milk sample was spread on blood agar plates (5% defibrinated sheep blood). The plates were incubated aerobically at 37 °C and examined after 24 h and 48 h. The colonies were provisionally identified based on Gram stain, morphology, and hemolysis pattern, and the numbers of each colony type were recorded. The representative colonies were then subcultured on blood agar plates and incubated aerobically at 37 °C for 24 h to obtain pure cultures. Catalase and coagulase production was tested for gram-positive cocci. Specific identification of staphylococci was made using commercial micro-methods (API Staph; BioMerieux, Italy). The infection status of milk samples was defined according to the procedures recommended by the National Mastitis Council (NMC, 1987) and IMI was diagnosed when ≥ 500 cfu/mL and 1 to 3 colony types were isolated. Milk samples from which many colony types or < 500 cfu/mL of any microorganism were isolated were regarded as contaminated or uninfected, respectively. At the moment of challenge, no infection in the udders was observed, as was confirmed by the absence of mastitis pathogens in foremilk samples tested for three consecutive days just before the experimental challenge.
Experimentally induced mastitis and milk samples
First, milk samples from uninfected right (Rx, T0) and left half-udder (Lx, T0) were collected before IMI with S. aureus. Three hours later, intra mammary challenge with inoculum of S. aureus was carried out. Subsequent milk sample collections were carried out at 6, 12, 18, 24 and 30 h after challenge from both right (uninfected) and left (infected) half-udder, taking care to avoid ribonuclease (RNase) contamination: cleaning the udder and teats with a clean linen impregnated with an antiseptic solution followed by a spray of RNAse Zap, drying with a paper towel (Kimwipes) and performing a manual milking with disposable nitrile gloves. For each animal and time point, 150 mL of milk were collected from each half-udder into sterile, RNase free tubes (3 × 50 mL Falcon tubes). Samples were immediately kept on ice prior to MFG collection.
The clinical scoring system to classify mastitis symptoms cases was as described for dairy cows . In addition to abnormal milk, this system is based on measurement of rectal temperature, hydration status and clinical attitude. Severity of clinical signs was scored as mild, moderate or severe. A mild score was assigned when the milk was grossly abnormal and no other local or systemic signs of inflammatory disease were seen; a moderate score was assigned when the milk was grossly abnormal and there was firmness or swelling of the affected mammary gland, but none or only one of the systemic signs of inflammatory disease are seen. A severe score was assigned if the milk was grossly abnormal, there was firmness or swelling of the affected mammary gland, and at least 2 of the following systemic disease signs were seen: rectal temperature ≥ 39.5 °C, hydration score showing moderate to marked enophthalmos, and attitude score showing signs of marked depression .
All experimental procedures were performed according to the Italian legislation, following approval by the ethics committee of University of Milan.
S. aureus bacterial counts
For determination of S. aureus bacterial counts (cfu/mL), series of dilutions (102 to 108) were prepared from 1 mL of each sample of milk, diluted with 9 mL of a 0.1% saline peptone solution. Then 0.1 mL of the serial dilutions were inoculated on the surface of Baird-Parker agar and spread with a spatula. The incubation was done at a temperature of 37 °C for 16 h (overnight incubation).
Milk fat globule collection
Samples were centrifuged at 2000 × g for 10 min at 4 °C to isolate milk fat. The supernatant fat layer was transferred to a new 50 mL-Falcon tube using a sterile spatula. Then, 500 μL of fat were put into a 15 mL-Falcon and 1.5 mL of TRIzol® LS solution (Invitrogen, Life Technologies, Carlsbad, California, USA) was added and the tube was vortexed vigorously prior to storage at -80 °C. The entire process of milk sample collection and storage of MFG was completed within 2 h and all procedures were carried out at 4 °C.
Tissue collection for laser capture microdissection
At the end of the experimental protocol (30 hours post infection (hpi)), goats were slaughtered, according to surgical and experimental procedures in compliance with the policy of INRA’s Animal Care Committee, after milk sampling. Tissue samples were collected aseptically from the five goats within 10 min after slaughtering. A piece of deep alveolar parenchyma, without visible connective tissue, was removed from the left udder (infected) and right udder (uninfected). The collected tissue was washed in cold PBS solution (on ice), 5 mm3 pieces of tissue were cut and embedded into OCT® (TissueTek™) in a cryomold of 1 cm3 (Bayer™) and immediately placed on dry ice or in a SnapFrost™ system (Alphelys, Elancourt, France) containing isopentane at -80 °C. Samples were stored at -80 °C until further processing. The time delay between slaughtering and tissue freezing was less than 20 min. Laser Capture Microdissection (LCM) was carried out using the Veritas Microdissection system and software (Arcturus, Life Technologies, St Aubin, France), as previously described .
Total RNA extraction
Total RNA was extracted from mammary tissue samples (pieces of deep alveolar parenchyma referred to as MG) taken at 30 hpi on the left (infected) and the right (uninfected) half-udder, using TRIzol Reagent (Invitrogen, Life Technologies) according to the manufacturer’s instructions. Total RNA was extracted from MFG using TRIzol® LS solution (Invitrogen, Life Technologies) following the original manufacturer’s protocol with slight modifications, essentially as described by Brenaut et al. . Prior to RNA quality control, a DNase treatment was carried out to remove any contaminating genomic DNA according to the manufacturer’s protocol (Qiagen, Courtaboeuf, France).
Total RNA was extracted from captured cells using the PicoPure® RNA Isolation Kit (Arcturus, Life Technologies) according to the manufacturer’s instruction protocol, including on-column RNase-free DNase I treatment (Qiagen). CapSure macrocaps with captured cells were inserted into RNase-free 500 μL microcentrifuge tubes containing 25 μL of extraction buffer (XB). The tubes were inverted to allow the reaction between the buffer and the surface of the cap. RNA were extracted from scraped sections (tissue remaining on the slide after capture) by pipetting 50 μL of XB buffer onto the remaining tissue on the glass slide, which was then gently scraped off and transferred into RNase-free 500 μL microcentrifuge tubes. RNA from cap and section scrapes were eluted with 15 μL and 30 μL of elution buffer (EB), respectively.
RNA quality control and single strand cDNA synthesis
Purity, concentration and integrity of total RNA intended for microarray analysis and qPCR were assessed using two independent techniques. RNA purity was evaluated by absorbance readings (ratios A260/A230 and A260/A280) using the NanoDrop ND-1000 spectrophotometer (Thermo Fisher Scientific, Villebon-sur-Yvette, France). The fluorimetric method and micro-capillary electrophoresis device developed by Agilent Technologies (Les Ulis, France) was used to determine RNA concentration and quality with RNA 6000 Pico LabChip® Kit in the Agilent Bioanalyzer 2100 system. Quality was evaluated using the RNA Integrity Number (RIN) value, introduced by Schroeder et al. . A PCR test was routinely performed to ensure that RNA samples were free from genomic DNA (primers matching with intron sequences). First-strand cDNA was synthesized from 5–10 ng total RNA primed with oligo(dT)20 and random primers (3:1, v/v) using Superscript III reverse transcriptase (Invitrogen, Life Technologies) according to the manufacturer’s instructions. Then, 1 μL RNase H (2 U/μL, Invitrogen, Life Technologies) was added to the reaction mix which was incubated for 20 min at 37 °C to remove RNA from heteroduplex. cDNA, thus obtained, was stored at -20 °C.
Microarray processing and data analysis
A microarray analysis was performed, in a mono color experimental design, to compare gene expression profiles of MFG at 4 time points of infection (0, 12 h, 18 h and 24 h) on the 5 goats. RNA samples were labelled using T7 RNA polymerase, which simultaneously amplifies target material and incorporates cyanine 3-labelled CTP (Agilent Technologies) according to the manufacturer’s instructions. Briefly, total RNA (120 ng) was first reverse transcribed and then converted to labeled cRNA with Cy3 dyes. Before hybridization, quantity and quality of purified cRNA was assessed with the Agilent 2100 Bioanalyzer.
Since goat microarrays were not available, we used the Sheep Gene Expression Microarray, 8 × 15 K (Agilent Technologies) developed for a closely related species (Ovis aries), to profile gene expression. Hybridization was performed according to the manufacturer’s instructions. Briefly, each microarray was hybridized with fluorescent labelled (Cy3) cRNA samples. Three hundred ng of each labelled cRNA were fragmented for 30 min at 60 °C in 25X fragmentation buffer. Then, fragmented and labelled cRNA samples were diluted in 2X GE x Hybridization Buffer Hi-RPM and hybridized onto the 15 K ovine microarray for 17 h at 60 °C in a rotating hybridization oven. After hybridization, microarrays were washed twice with washing buffer 1 at room temperature for 1 min and then with washing buffer 2 at 37 °C for 1 min. Microarrays were scanned on an Agilent scanner G2565BA using the extended dynamic range scan mode. Data were processed (including Lowess normalisation) and extracted with Feature Extraction software version 10.5 (Agilent, Technologies).
Statistical analysis of microarray data was carried out using the commercially available software package GeneSpring® GX v10.0.2 software (Agilent Technologies), using the latest gene annotations available on a web-accessible resource established by SIGENAE . Information about this experiment has been deposited in NCBI Gene Expression Omnibus (GEO) with accession number (GSE39315). All data are “Minimum Information About a Microarray Experiment” (MIAME) compliant. First, we applied a quantile normalization on data, which assumes that the distribution of gene abundance is the same for all samples, and spots that did not meet minimum signal intensity were removed. The resulting signal information was analyzed using repeated measures ANOVA with a Benjamini-Hochberg correction for multiple comparisons. This approach was used since the data correspond to a longitudinal study which measures each individual at each of several time points. We note that a standard ANOVA assumes independence between time points and is not able to differentiate between the variability within each individual (i.e. across time points) and the variability between individuals, resulting in inflated error variance estimates. By accounting for the correlation among repeated measurements for each individual within the model, these error variance estimates can thus be reduced. This analysis included pair wise comparisons between time points (0 h vs. 12 h, 12 h vs. 18 h, and 18 h vs. 24 h), which yielded a list of probes that were differentially expressed in at least one of the pairs considered. A first filter was applied to select the genes that displayed an adjusted p-value less than 0.05. The output of this analysis was additionally filtered by fold expression, generating lists of differentially expressed genes with at least 1.5-fold change. This final set of genes was then referenced to biological functions with Ingenuity Pathways Analysis software v6.0 (IPA, Ingenuity Systems, Redwood City, CA, USA). The contribution of genes to the identified function was explained with an associated p-value, calculated with a right-tailed Fisher’s exact test.
To identify temporal relationships among this subset of genes, a gene regulatory network was reconstructed from the expression data using an approach specifically developed for replicated longitudinal data, called Empirical Bayes Dynamic Bayesian Networks (EBDBN), implemented in the ebdbNet package in R . Briefly, the EBDBN method makes use of an iterative empirical Bayes estimation procedure for a linear Gaussian state-space model. This approach has the advantage of being able to simultaneously model linear relationships among genes and a set of unobserved hidden variables (e.g., proteins, transcription factors, or other unobserved cellular entities) over time, as well as to explicitly model feedback loops of expression from one time point to another. Using the approach detailed in the package, the dimension of the hidden variables was chosen to be 2. The model was run for 10 different initializations, and gene-to-gene interactions were retained only if identified in at least 9 runs at a significance level of 95%.
Primer design and real time quantitative PCR
Primer sequences used for qPCR experiments
Sequence 5′ > 3′
Amplicon size, nt
CTG GTT ATG GTT GGA CTG GAA AA
AAC ATG CTG GTT GTA TGA AGT AAA GTG
AGG TGC AAT GAT GAA GAG TTT TTT C
CCC AAA AAT GGC AGG GTT AA
Cluster of differentiation 3 epsilon (CD3e)
ACG CTG TAC CTG AAA GCA AGA
AAT ACA CCA GCA GCA GCA AG
Cluster of differentiation 68 (CD68)
GAT CTG CTC TCC CTG AAG CTA CA
CAT TGG GAC AAG AGA AAC TTG GT
Cluster of differentiation 18 (CD18)
AGC GAC CTC AGG GAG TAC CA
TTA TCG TTG TTC CAC TGG GAC TT
Chemokine 4 (CCL4)
CAG CCG TGG TAT TCC AGA CC
CTC GGA GCA GCT CAG TTC AGT
Cyclophilin A (PPAI)
TGA CTT CAC ACG CCA TAA TGG T
CAT CAT CAA ATT TCT CGC CAT AGA
GTG GTA AAC CTT TCA AAA TAC AAG TGC
ATT TTT CAC CCG ATG ATT GTA CTG
G protein-coupled receptor 97 (GPR97)
GAG ATC ACC TTC TCC CAC CAG
TGT GGA GCA GCC CAA GGA
Interleukin 8 (IL-8)
TGA GAG TGG GCC ACA CTG C
CAC AAC CTT CTG CAC CCA CTT
Keratin 14 (KRT14)
CCC AGC TCA GCA TGA AAG C
AGC GGC CTT TGG TCT CTT C
Serum amyloid A3 (SAA3)
CTG GGC TGC TAA AGT GAT CAG TAA C
CCC TTG AGC AGA GGG TCT GTG ATT
TCC ACC AGT ACT CCA TCC GG
TGG TGT TTT TGA GGC AGT TGG
TCC AGC AGA ATC CCA CCT CTA
CCA GAA CCT GAT CCT GAG ACG
AAG AAA TAT GCA AGT TCT GCC AAT T
ACC CTG TTG ATG CCC AGT TC
CAG AGG GAA GAG CAG TCC CC
TGG GCT ACC GGC TTG TTA TTT
Toll-like receptor 2 (TLR2)
TAA ACT TGA GAG TGG AGG TCA AAT CA
TCA GAG GCT CCT TCC GTG G
Interleukin 1beta (IL-1β)
GAC AAC AAG ATT CCT GTG GCC
TCT ACT TCC TCC AGA TGA AGT GT
Pentraxin 3 (PTX3)
CCG AGC TGT GCA GGG CT
GCA CGC TTG CAA AAA TCT TCT T
GAG AAT GGG CTG GTG AAA CAG
GGG CGA AGT CTC CTC ACA CTC
24S ribosomal protein (RPS24)
TGG TGGTGG CAA GAC AAC TG
TTC TTC GCG TAA TCC AAG GAA
Reliability of reference genes (RPS24 and PPIA) was evaluated with the GeNorm Visual Basic application for Microsoft Excel as described by Vandesompele et al. . Statistical analyses were performed using the R software, with the Rcmdr package. The non-parametric Mann–Whitney U-test was used to analyse the differences in relative expression for each gene of interest between MG and MFG, non infected versus infected, at 12 h, 18 h and 24 hpi but also between infected MG and microdissected MEC, at 30 hpi.
Kinetics of pathological features: an increase of S. aureus in milk followed by an increase of somatic cells in milk
RNA sampling from MEC in their physiological context, during infection
Two different sampling methods were used to access MEC materials from each of the 5 goats throughout the time course of the IMI challenge with S. aureus (Figure 1). The first method consisted in milk collection, every six hours post infection, and extracting RNA from cytoplasmic crescents trapped in MFG during the secretion process from MEC. The RNA integrity number (RIN) of total RNA isolated from MFG was estimated, on average, to 7.5 ± 0.5. Then, at the end of this first part of the protocol, mammary tissues were collected on slaughtered goats (n = 5) and MEC captured from sections of mammary tissue by Laser Capture Microdissection (LCM). RIN for RNA extracted from microdissected cells were of comparable quality (6.8 ± 0.4) with RNA obtained from MFG. Combining these two techniques is a convenient approach to follow MEC response in a physiological context, provided that contamination by other cell types can be excluded. To assess such an eventuality, qPCR systems designed to quantify specific markers for mammary myoepithelial cells (Krt14), lymphocytes (CD3e), neutrophils (CD18), and macrophages (CD68 and CD18) were implemented .
RNA extracted from MFG highly reflect MEC gene expression pattern, up to 18 hpi
Selectivity of MEC capture by LCM on cryo-sections of mammary tissue
MEC response during the first 24 h following IMI challenge with S. aureus
The 39 differentially expressed genes (adjusted p -value < 0.05 and fold change > 1.5) in Milk Fat Globules of goats ( n = 5), in response to an experimental IMI with S. aureus, in at least one of the two pairwise comparisons (T0 vs. 12 hpi; 12 hpi vs. 18 hpi)
Fold change T0/T12 (sens of regulation)
Fold change T12/T18 (sens of regulation)
Arachidonate 5-lipoxygenase-activating protein
Leukotriene metabolic process
Bcl-2-related protein A1
Chemokine (C-C motif) ligand 2
Inflammatory response, chemotaxis
Chemokine (C-C motif) ligand 4
Inflammatory response, chemotaxis
C-type lectin domain family 4 member E
Early growth response protein 1
Regulation of transcription, cell proliferation
Early growth response 3
Fc fragment of IgG, low affinity IIIa, receptor
Proto-oncogene protein c-fos
Regulation of transcription, cell proliferation
Growth arrest and DNA-damage-inducible protein GADD45 alpha
Immediate early response 3
Interleukin-18-binding protein Precursor
Regulation of transcription, cell proliferation
Interleukin 1 beta
Inflammatory response, cytokine biosynthesis
Interleukin-2 receptor gamma chain
Regulation of gene expression, alpha-beta Regulatory T cell differentiation
Cellular response to zinc and cadmium ion
Phosphodiesterase 4B, cAMP-specific
Platelet/endothelial cell adhesion molecule
Regulation of phagocytosis
Regulator of G-protein signaling 2
Ras-related associated with diabetes
S100 calcium-binding protein A12
Protein strawberry notch homolog 2
Regulation of transcription, cell proliferation
Cellular amino acid metabolic process
Inflammatory response, acute phase response
Solute carrier family 2, facilitated glucose transporter member 3
Carbohydrate transmembrane transport
Suppressor of cytokine signaling 3
Spleen focus forming virus (SFFV) proviral integration oncogene
Regulation of transcription, cell proliferation
Tumor necrosis factor alpha
Inflammatory response, anti aptoptosis
Tumor necrosis factor alpha-induced protein 6
Response to oxidative stress
021030OOCX008067HT OOCX Ovisaries cDNA
020605OCS411016083HT OCS4 Ovisaries cDNA
Taste receptor type 2 – Bos taurus (Bovine), partial (26%) [TC17737]
Gene network analysis of differentially-expressed gene lists
Confirmation of differentially expressed genes by qPCR
Taken together, these results strongly support the notion that during the early stages post-inoculation (before 24 hpi), MEC initiate a prompt response to infection and a sharp induction of innate immune genes that are predominantly associated with the pro-inflammatory response.
Genes associated with the innate immune response are still expressed in MEC at 30 hpi
Changes in expression of some innate immune genes in the mammary gland parenchyma (MG) and in microdissected MEC, relative to non-infected tissue and non-infected microdissected MEC at 30 hpi, respectively
Fold change in MG at 30 hpi
Fold change in microdissected MEC at 30 hpi
2.71 ± 0.75
3.01 ± 0.70
10.40 ± 1.02
9.56 ± 0.89
3.68 ± 0.87
2.97 ± 0.53
158.07 ± 5.20
123.83 ± 5.11
417.87 ± 8.78
321.85 ± 6.55
29.57 ± 1.77
16.77 ± 1.21
8.30 ± 1.26
3.17 ± 0.36
42.41 ± 1.02
14.92 ± 0.34
32.32 ± 2.41
7.55 ± 0.57
It has proved to be difficult to reliably analyse in vivo the time course of the pathogen-specific immune response in the udder . Several groups have designed and standardized experimental conditions to reproducibly infect lactating udders from cows [6, 30, 31] and ewes  to generate meaningful results describing molecular mechanisms of host-pathogen interactions. However, infection of animals suffers from among-individual variation, especially regarding dairy ruminant species. In addition, the udder is a complex organ made of several cell types contributing differentially to its immune response . Therefore, to characterize the MEC response, relevant model cells such as primary bovine MEC have been proposed for the molecular analysis of immune defense mechanisms in the udder [12, 34, 35]. Their potential to express genes of immune defense in response to stimulation with heat-killed bacteria was recently characterized showing pbMEC is capable of secreting large amounts of mediators of inflammatory response, namely IL-8 and TNFα in a pathogen dose dependent fashion . Comparing the inflammation dependent regulation of factors contributing to the complement system between the udder and MEC to those from fully inflamed udders after infection with live E. coli pathogens also underlines some regulatory limitations of the pbMEC cell model, which does not properly reflect the mastitis induced regulation of chemokines and the complement system in the udder .
The present study is, to our knowledge, the first report describing the in vivo transcriptional host response of MEC in dairy ruminants, early after an IMI challenge with S. aureus. We assessed the contribution of MEC to initiate a pro-inflammatory response and to participate in the recruitment of neutrophils and macrophages at the beginning of staphylococcal infection. Usually, in vitro models are used to get an inside view of MEC function, but it remains a simplified and artificial model. A surrogate and less reductionist approach than the in vitro cellular and invasive biopsy methods is the use of “cytoplasmic crescents” enclosed in MFG, first proposed by Maningat et al.  in humans and recently validated in goats . However, RNA from MFG, which in theory only contain RNA from MEC, could be contaminated by RNA from infiltrating immune cells, whose population increases in milk during the infection process, and which can be trapped in the cream layer along MFG isolation. Our results show that up to 18 hpi, RNA extracted from MFG is uncontaminated by RNA from immune cells (Figure 3). The expression level of neutrophil and macrophage specific markers was 17 times less than in a non infected mammary gland whose immune cell population is not more than 5% in the cow mammary tissue . Conversely, at 24 hpi, data should be interpreted with care, and we considered it wiser not to treat MFG as fully representative of MEC due to the level of contamination of MFG by immune cells which can then not be negligible. RNA extracted from MFG reflects the specific physiological metabolic process in functional epithelial cells within the mammary gland, only until 18 hpi. However, regarding some genes known to be specifically and highly expressed in MEC, such as genes encoding milk proteins, RNA extracted from MFG remains representative of this cell type. As shown by qPCR experiments, LCM allows obtaining MEC enriched material with low contamination by MMC. In such a manner we were able to complete until 30 hpi our study of MEC response in their physiological context, even though this contamination was slightly higher than that previously reported by Bevilacqua et al.  on healthy tissue. This is probably due to tissue damage associated with inflammation leading to a loss of the secretory epithelium cohesion (Figure 4A). However, since MMC were not shown to be able to induce the production of chemoattractants for neutrophils , we can assume that this slight contamination of MEC by MMC has in fact little impact on changes in the expression profile induced by the infection and therefore does not interfere with the contribution of MEC in innate immune gene expression.
In addition, throughout the time course of the challenge we confirmed that mRNA molecules encoding proteins involved in the primary function of the udder, i.e. milk synthesis, were not affected by the experimental infection, thus demonstrating that there is no significant loss of function in the mammary tissue, at least during the first 24 h. Therefore, the experimental model measured changes in immune gene responses that are likely to be appropriate to study the initial stages of infection. On the contrary, it was clearly demonstrated in cows that signals are transmitted to the surrounding tissue and to the neighbouring uninfected quarters, very early (within the first 24 h) after contact with E. coli.
Transcriptome analyses provided here, even though performed with an incomplete repertoire of gene probes, revealed that gene expression profiles clearly changed at 18 hpi with a low number of differentially regulated genes (n = 39), concomitantly with a 5 × 106-fold increase of S. aureus bacterial count in milk from infected udders. If similar changes occurred in response to the bacterial infection in the neighbouring uninfected udder, as reported by Jensen et al.  in bovine, then such changes may have masked some of the differences between the infected and uninfected udder and this could be a reason why the list of differentially expressed genes is relatively short.
The rather late change in gene expression, only 18 hpi, could be explained by the delay to reach sufficient bacterial concentrations in milk. Sensing the presence of bacteria is an important component of innate immunity . Indeed, kinetic studies of experimental clinical mastitis induced by the intra-mammary infusion of S. aureus in ovines showed that the inflammatory response (leucocyte reaction) is not initiated until bacterial concentrations reach 4.104 bacteria/mL of milk . Differentially expressed genes, identified in the microarray screening, of which 15 were confirmed by qPCR, indicated that MEC respond to an IMI challenge with S. aureus by substantial increase in abundance of mRNA coding for a range of pro-inflammatory cytokines, chemotactic proteins, antimicrobial factors and acute phase proteins. Our results clearly demonstrate that MEC, which form the first line of defense against invading pathogens, are actually able to induce an up-regulation of immune-associated genes involved in the inflammatory response, thus substantiating previous in vitro studies [9, 10, 12, 13, 42]. We note that, as pointed out by Gunther et al.  in a comparison of primary culture of bovine MEC and udder, such a MEC model, though useful, is generally not considered to reflect what actually happens in vivo. It seems, however, that MFG provides more accurate information to analyze the MEC response, at least during the very first steps of an IMI challenge.
Furthermore, some of the genes found up-regulated in MEC play a key role in orchestrating the regulation of other immune effectors. For instance, the temporal regulatory network, built from the expression data using the Empirical Bayes Dynamic Bayesian Network (EBDBN) algorithm, underlines the first role of MEC in the immune response. This role consists of the recruitment of neutrophils through the up-regulation of PDE4B and TNFα and in the differentiation and proliferation of lymphocyte T through the up-regulation of GADD45α. More precisely, it was observed that the gene encoding the phosphodiesterase PDE4B, which is expressed in the bovine mammary gland , plays a key role in immune cell recruitment. Ariga et al.  showed that neutrophil recruitment to the lung is impaired in PDE4-deficient mice, by inactivating the second messenger, the cyclic adenosine monophosphate (cAMP), thus abrogating its negative effects on neutrophil recruitment and activation. Jin et al.  provide evidence that the gene encoding PDE4B, which is expressed in mouse peritoneal macrophages, is involved in the control of TLR signaling, significantly reducing TNFα expression.
The multifunctional pro-inflammatory cytokine TNFα was shown to induce the expression and release of IL-8 by bovine MEC . Our results which are consistent with this, show that genes encoding TNFα and IL-1β and, to a less extent, IL-6 which are typical pro-inflammatory mediators produced in response to TLR stimulation, are up-regulated at 18 hpi. IL-8, a potent chemokine capable of initiating an acute inflammatory response, plays a primary role in the recruitment of neutrophils into the gland . Thus, upon recognizing the pathogen, MEC are able to send out rapidly a strong signal to recruit cellular factors of immune defense (macrophages, neutrophils) from the blood stream into the infected mammary gland. Indeed, this change in gene expression was then followed, 24 hpi, by a massive arrival of cells in milk (Figure 2B), mainly represented by neutrophils .
Our results also suggest that the gene suppressor of cytokine signalling 3 (SOCS3) occupies a crucial position in the network arising from the temporal analysis. This gene, important for the mammary tissue homeostasis [50, 51], encodes an intracellular inhibitor of cytokine signaling that acts in a classical negative feedback loop [52, 53]. This is consistent with the fact that the up-regulation of different cytokine encoding genes such as IL-1β, TNFα and CCL4 by MEC is restricted at the very early stages of infection, before a decrease at 30 hpi. This short-lived up-regulation was also observed during in vitro studies . Nevertheless, in comparison with in vitro studies, after challenging primary bovine MEC cultures (pbMEC) with heat-inactivated preparation of S. aureus, the induction of cytokine-encoding genes such as IL-1β and IL-8 occurred later on in our study. Gunther et al.  also observed the same results with a stronger and earlier increase in mRNA abundance in pbMEC challenged with E. coli than that found in the udder as caused by acute mastitis. This ability to respond more quickly and strongly could be due to the fact that MEC in culture does not properly reflect the mastitis induced-regulation of cytokines in the udder and rapidly lose their functional features. The immune activity of MEC is regulated and balanced within the udder by factors locally delivered from other cell types . These observations reinforce the interest of studying MEC biology in its physiological context, which can be done using RNA extracted from MFG. This non-invasive technique allowed analyzing the in vivo contribution of MEC during the very first steps of infection on the same individual, thus allowing a study of time-course variations while accounting for individual variability.
On the contrary, increased expression of genes encoding molecules with bactericidal functions, such as S100A12 and PTX3, is the second very clearly identified immune function of MEC. PTX3 together with S100A12 that could assist defense of the mammary gland against chronic and subclinical infections, have also been reported to be up-regulated in milk somatic cells in response to S. aureus infection in goats  and the resulting proteins were shown to be present in bovine milk, helping to resolve the mammary tissue infection as well as potentially contributing to the maturation of the newborn calf epithelium and establishment of the newborn gut microbial population . Concomitantly with the early induction of cytokine and chemokine-encoding genes, we identified an up-regulation of two genes coding for acute phase proteins (APP): pentraxin 3 (PTX3) and α-1 anti-proteinase (SERPINA1) which were also found in bovine milk at the beginning of mastitis [39, 42]. We demonstrate here from LCM experiments that MEC contribute significantly to the increases of PTX3 and SERPINA1 transcripts, even after the burst of immune cells in milk. Therefore, as previously proposed for SERPINA1 [55, 56] which is a potent inhibitor of IL-8-induced hematopoietic stem cell mobilization , these two acute phase proteins could be useful markers in the early diagnosis of inflammation. We also observed a slight up-regulation of the gene encoding antimicrobial peptide S100A12 which is known to be induced by inflammatory cytokines such as IL-1β  and which demonstrates chemotactic activity, attracting circulating leucocytes in inflammation conditions . This protein, which probably amplifies the inflammatory response via a recruitment of neutrophils , was reported to occur during all but the early stage response . This is in agreement with our results. Indeed, it appears that MEC do not greatly contribute to its expression in the early stages of infection. However, the time-course of its response showed a clear tendency towards up-regulation from 24 hpi. Conversely, when the infection is well established, MEC are able to specifically express the acute phase protein SAA3 which can act directly on pathogens . The gene encoding SAA3 is mainly induced by IL1-β and TNFα . Studies have shown a growing interest for this protein and propose SAA3 as a good marker for mastitis. Interestingly, a high level of SAA has been observed in milk, in clinical  as well as in sub-clinical  bovine mastitis. Furthermore, whatever the dose and the invading pathogen, in vitro  as well as in vivo  studies reported high levels of mRNA molecules encoding SAA3 in response to infection or experimental challenge with E. coli or S. aureus cell wall components. However, 30 hpi we observed a very weakly (2.7 to 3-fold) enhanced expression of SAA3. This discrepancy could be explained, either by the fact that MEC in culture do not properly reflect MEC in their physiological context and/or that the udder is a complex tissue in which the dynamics of inflammation are different from that observed with a cellular model or even because the reading windows are not comparable. In previous studies (unpublished results), in agreement with the results reported by Eckersall et al.  in cattle, we observed that increases in acute phase SAA in milk of experimentally infected ewes occurred within 12 h after S. aureus infusion reaching a peak concentration at 72 h. Thirty hpi can still be considered as the onset of the IMI challenge with S. aureus, and consistent with our results, Eckersall et al.  who recorded at the early stage of infection (48 h) the expression of SAA3 (mRNA), reported a slight increase (3.6-fold) in abundance of mRNA molecules. To substantiate our results, it is worth noting that most of these proteins were found in proteomic studies performed from E. coli, S. aureus and S. uberis mastitis milk whey. In addition, it should be underscored that the pattern of the response to IMI is basically similar and the qualitative differences observed between species most likely reflect different basal conditions and the type of invading pathogen .
Finally, as previously demonstrated in an in vitro study , we confirmed in vivo that the expression of TLR2, which is a key component in immune recognition of gram-positive bacteria by host cells, recognizing a wide spectrum of microbial components , was slightly affected by the infection (2.9-fold up-regulated 30 hpi) and essentially expressed by MEC (80% contribution). Thus, it is likely that MEC contain a fully functional and constitutively active Toll-Like Receptor signalling pathway that is slightly induced by the bacterial challenge but immediately responsive. Therefore, MEC have an intrinsic role in innate immune surveillance of the mammary tissue. The primary function is recruiting immune cells and the recognition likely occurs via the MyD88-dependent TLR signaling pathway. Stimulation of this pathway is considered the main mechanism enhancing expression of pro-inflammatory cytokines and activation of the innate immune response . TLR2 stimulation triggers intracellular signalling cascades leading to the activation of NFκB which, in turn, leads to the activation of several genes encoding pro-inflammatory mediators such as TNFα, IL-1β and IL-6. In addition, TLR2 stimulation engages the production and release by MEC of chemokines such as IL-8, a potent chemo-attractant and activating factor of neutrophils, and, to a less extent, of cytokines CCL2 and CCL4 which display chemotaxis activity for monocytes and macrophages. Interestingly, due to a considerable among-goat variation, a number of genes possibly involved in MEC response to IMI challenge with S. aureus, has not emerged from the microarray analysis. Therefore, we analyzed some relevant genes, known to play crucial roles in the immune function, by comparing their gene expression profiles between goats, during the course of the infection. Thus, MyD88, an adapter protein involved in the Toll-Like Receptor and IL-1R signaling pathway, with a sharp increase at 24 h seemed to follow the same dynamic trends (Figure 9) as S100A12, whereas NFκB and IRAK4 (essential in the activation of NFκB), showed a strong increase at 18 hpi, before rapidly declining at 24 hpi, at least for 3 of the 5 goats analyzed in this study.
These data collectively demonstrate that we can easily access MEC biology in its physiological context via MFG. This non-invasive technique has allowed assessing the contribution of MEC during the first steps of infection, in vivo. Our results suggest that the MEC response to IMI challenge involves both genes likely to affect pathogen function as well as genes (e.g. cytokines) that alter the behaviour of other cell types. Consistent with others, the picture emerging from this study is that the mammary epithelium is not simply a mechanical barrier but rather a functionally complex tissue capable of responding effectively to the intrusion of pathogens by altering its own gene expression profile and possibly that of other cell types to favour recruitment of immune cells and to synthesize bactericidal molecules. We report here a novel strategy of sampling to monitor the dynamics of gene expression in MEC which allows going further into the understanding of MEC immune capacity. Furthermore, modulation of these roles could be of importance in determining the outcome of an infection. The chronologically induced synthesis of cytokines at the inflammation site is important for pathogen clearance, wound healing and return to normal conditions. This approach could allow a better understanding of MEC functions in animals showing different levels of genetic predisposition to mastitis, as tested with an in vitro study on sheep . From a diagnosis point of view, several candidates for an early detection of mastitis were found.
Despite incomplete and imperfect annotation (the probe with the highest differential expression unfortunately remains unknown), which may explain why some effectors known to be induced in response to infection were not identified in this study (e.g. epithelial β-defensins such as LAP of which the expression is delayed  as well as other antibacterial molecules), the repertoire of gene probes used (Sheep Gene Expression Microarray, 8 × 15 K) has nevertheless confirmed the involvement of a number of master cytokines and chemokines (IL-8, IL-1β). Regarding IL-1β, which is first synthesized as biologically inactive pro-IL-1β, its processing into mature, biologically active pro-inflammatory cytokine supposes activation by caspase-1 which remains to be reported for MEC, before being released in the extracellular milieu following a non-classical secretory pathway . One cannot take for granted that mRNA detection guaranties protein expression. The application of an original algorithm to construct gene networks of temporal regulation revealed the involvement of several factors known to play an important role in the inflammatory response, but for which we did not suspect that the MEC could be providers. In a recent review  and two proteomic studies [75, 76], increasing of low abundant proteins such as IL-8, CD14, SAA, S100A12 and PTX3, were reported in mastitis milk from ewes and cows experimentally infected by E. coli, S. aureus and S. uberis or challenged with LPS, thus corroborating our transcriptional findings. Finally, the non-invasive sampling method (RNA extraction from MFG) provided an opportunity to perform a dynamic study of IMI, and this in spite of the significant individual variability observed which can in such a manner be partly bypassed. It also gives the opportunity to achieve a large-scale validation of the results in a significant number of individuals, which we plan to do in the near future.
This work has received a financial support from “La Région Centre” (programme Capricel, coordinated by Rachel Rupp, SAGA, INRA Toulouse) and from the EADGENE (EU Contract No. FOOD-CT-2004-506416). We gratefully acknowledge Jérome Lecardonnel (Centre de Ressources Biologiques GADIE, INRA, Jouy-en-Josas, France) for technical skillful and help in performing microarray experiments.We warmly thank Leonardo Bianchi for invaluable help in collecting samples. We would also thank Sophie Dauchy and Caroline Morgenthaler for helpful assistance in performing cryosection and LCM. Pauline Brenaut was supported by a PhD fellowship from the ABIES graduate school, AgroParisTech, Paris.
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