Concurrent infection with porcine reproductive and respiratory syndrome virus and Haemophilus parasuis in two types of porcine macrophages: apoptosis, production of ROS and formation of multinucleated giant cells

Porcine reproductive and respiratory syndrome (PRRS) is one of the most significant and economically important infectious diseases affecting swine worldwide and can predispose pigs to secondary bacterial infections caused by, e.g. Haemophilus parasuis. The aim of the presented study was to compare susceptibility of two different types of macrophages which could be in contact with both pathogens during infection with PRRS virus (PRRSV) and in co-infection with H. parasuis. Alveolar macrophages (PAMs) as resident cells provide one of the first lines of defence against microbes invading lung tissue. On the other hand, monocyte derived macrophages (MDMs) represent inflammatory cells accumulating at the site of inflammation. While PAMs were relatively resistant to cytopathogenic effect caused by PRRSV, MDMs were much more sensitive to PRRSV infection. MDMs infected with PRRSV increased expression of pro-apoptotic Bad, Bax and p53 mRNA. Increased mortality of MDMs may be also related to a higher intensity of ROS production after infection with PRRSV. In addition, MDMs (but not PAMs) infected with H. parasuis alone formed multinucleated giant cells (MGC); these cells were not observed in MDMs infected with both pathogens. Higher sensitivity of MDMs to PRRSV infection, which is associated with limited MDMs survival and restriction of MGC formation, could contribute to the development of multifactorial respiratory disease of swine. Electronic supplementary material The online version of this article (doi:10.1186/s13567-017-0433-6) contains supplementary material, which is available to authorized users.


Introduction
Porcine reproductive and respiratory syndrome (PRRS) is one of the most significant and economically important infectious diseases affecting swine worldwide [1]. The causative agent is porcine reproductive and respiratory syndrome virus (PRRSV). It is an enveloped, positivestranded RNA virus, belonging to the family Arteriviridae. PRRSV is associated with respiratory distress and reproductive failure in swine and poor growth performance in piglets [2].
The PRRSV targets cells of the porcine monocyte/macrophage lineage [3] where CD163 is the essential receptor for the virus infection [4,5]. PRRSV primarily replicates in differentiated porcine alveolar macrophages (PAMs) [6,7] but it has been identified in macrophages located in tissues, including lymph nodes, thymus, spleen, Peyer's patches and liver [7,8]. The expression of CD163 is dependent on the differentiation levels of monocyte lineage cells. Freshly isolated peripheral blood monocytes express extremely low levels of CD163 and are not Open Access *Correspondence: salat@vri.cz 1 Veterinary Research Institute, Hudcova 296/70, 62100 Brno, Czech Republic Full list of author information is available at the end of the article susceptible to PRRSV infection [5] but as monocytes differentiate/age, the expression of CD163 increases and their susceptibility to PRRSV infection is enhanced [9]. Monocyte-derived macrophages (MDMs) [10] can be used as an alternative model for in vitro infection with PRRSV [5,11,12].
There are a number of published studies demonstrating that PRRSV induces apoptosis [13][14][15]. This highly regulated process is modulated by both pro-apoptotic and anti-apoptotic cellular factors. Two distinct pathways of apoptosis have been described: intrinsic and extrinsic apoptosis. Intrinsic apoptosis is initiated as a response to cellular stressors. The protein p53 is activated following DNA damage and triggers apoptosis through transcriptional activation of the Bcl-2 associated (Bax) gene [16]. It is still unclear whether PRRSV can induce apoptosis directly (within infected cells) or indirectly (within bystander cells) [16]. Cell apoptosis was mainly observed in PRRSV-inoculated MARC-145 cells [13,14,17,18] and PAMs [19] but there is little information about mortality and cell apoptosis of PRRSV infected MDMs.
The PRRSV is considered to be one of the key etiological agents in multifactorial respiratory disease of swine. The virus can predispose pigs to infection by bacteria such as Streptococcus suis, Haemophilus parasuis, Mycoplasma hyopneumoniae, Actinobacillus pleuropneumoniae and Salmonella spp. [20][21][22][23][24]. The additive effect of PRRSV infection and a secondary bacterial infection in the induction of multifactorial respiratory diseases was described in the case of H. parasuis [25,26].
Macrophages play an important role in the first line of defence against invading pathogens where production of reactive oxygen species (ROS) is one of the most important antimicrobial mechanisms. Oxidative stress caused by ROS has been suggested as an apoptosis mediator in virus-infected cells [27]. Increased ROS production was detected in the lungs of PRRSV-challenged pigs [28]. On the other hand, bacteria such as Haemophilus influenzae have evolved the OxyR system which coordinates the expression of numerous defensive antioxidants [29,30].
Information about sensitivity of various types of macrophages to infection with PRRS virus in co-infection with H. parasuis is lacking. Viability of cells, virus replication, ROS production and apoptosis of different types of co-infected macrophages in vitro was analysed in this study in order to gain understanding of macrophage interactions with PRRSV and H. parasuis in multifactorial respiratory swine disease.

Virus
The Lelystad strain of PRRSV (CAPM V-490) was obtained from the Collection of Animal Pathogenic Microorganisms (CAPM) at the Veterinary Research Institute (Brno, Czech Republic). The virus was propagated on the MARC-145 cell line and maintained in Dulbecco Modified Eagle's Medium (DMEM) (Invitrogen) supplemented with 10% foetal bovine serum (FBS) (Thermo Scientific), 1% antibiotics (Antibiotic Antimycotic Solution 100×: 10 000 units penicillin, 10 mg streptomycin, and 25 μg amphotericin B per mL; Sigma-Aldrich) at 37 °C and 5% CO 2 . The virus was clarified by centrifugation, and its concentration was determined by plaque assay. The concentration of stock virus used in experiments was 5 × 10 6 plaque forming units per mL.

Bacteria
Haemophilus parasuis serotype 5, strain HP 132 (CAPM 6475) originating from a pig with meningitis was obtained from CAPM. Bacteria were grown on Mueller-Hinton agar broth with yeast extract and 5% sheep blood (LabMediaServis) overnight at 37 °C, and non-confluent growth was harvested and resuspended in calciummagnesium free Dulbecco's phosphate-buffered saline (D-PBS, Lonza). Bacteria were washed twice with D-PBS and resuspended in D-PBS, with the final concentration adjusted to optical density of 2.5 equivalent to 10 9 CFU/ mL, using a turbidimeter (DEN-1 McFarland densitometer, Biosan).

Preparation of MDMs
CD14+ porcine monocytes were isolated from whole blood as described previously [31]. Peripheral blood mononuclear cells (PBMCs) were isolated from heparinized blood by Histopaque-1077 (Sigma-Aldrich) gradient. Monocytes were further enriched to a purity of >95% by positive magnetic bead selection (QuadroMACS ™ cell separator, Miltenyi Biotec) using monoclonal antibody directed against CD14 (clone MIL2, AbD Serotec, Oxford, UK, 10 μL per 10 8 cells) and goat anti-mouse IgG microbeads together with LS separation columns (Miltenyi Biotec). The obtained cells were cultured in 24-well plates at a concentration of 5 × 10 5 cells per well in 1 mL of complete medium (DMEM with 10% FBS and 1% antibiotics) and incubated for 4 days at 37 °C in 5% CO 2 to differentiate into macrophages. The cells for chemiluminescence assay were cultured in Nunc-Immuno ™ Micro-Well ™ 96-well polystyrene plates (Sigma-Aldrich) at a concentration of 1 × 10 5 in 250 µL of complete medium and incubated for 4 days at 37 °C in 5% CO 2 to differentiate into macrophages.

Preparation of PAMs
PAMs were collected as described previously [32] by bronchoalveolar lavage from five 6 to 8 week-old pigs from a PRRSV negative herd. The use of animals was approved by the Ethical committee of Ministry of Agriculture (approval protocol No. MZe 1487) as a part of project Respig (QJ1210120). Briefly, pigs were euthanized with the intravenous injection of the anaesthetic T61 (Intervet International B.V.) based on body weight according to the manufacturer's recommendations (5 mL/50 kg of body weight) and necropsied. The trachea and lungs were immediately removed, and the lungs were flushed with D-PBS. The aliquots with PAMs were frozen in a medium containing 75% RPMI-1640, 20% FBS and 5% dimethylsulphoxide (DMSO) (Sigma-Aldrich) and stored in liquid nitrogen until use. PAMs were thawed in a water bath at 37 °C before each experiment. Cell viability after the freeze/thaw process as determined by trypan blue exclusion was higher than 90%. The cells were washed by DMEM prior to use in the experiments. Porcine alveolar macrophages were placed into 24-well polystyrene culture plates at a concentration of 5 × 10 5 cells per well in 1 mL of complete medium (DMEM with 10% FBS and 1% antibiotics) and incubated overnight at 37 °C in 5% CO 2 .

Flow cytometry
Differentiation of MDMs and differences in the expression of the surface molecule CD163 between MDMs and PAMs were evaluated by flow cytometry. The cells were harvested by 0.2% EDTA in PBS, washed in PBS and labelled with the following unlabelled primary antibodies against surface protein: anti-CD163 (2A10/11, IgG1, Biorad). AlexaFluor 488-conjugated mouse IgG1 or IgG2a isotype-specific goat antisera (Invitrogen) were used as the secondary antibodies. Control samples were stained with secondary antibody only. Flow cytometry was performed using a LSR Fortessa flow cytometer operated by Diva software (Becton-Dickinson). Data are shown as median fluorescence intensity ratio (MFI ratio); MFI ratio = MFI of specific Ab-stained cells + AlexaFluor 488-conjugated mouse IgG1 (CD163)/MFI of control cells stained only with AlexaFluor 488-conjugated mouse IgG1 or IgG2a isotype-specific secondary antibody. The experiment was performed using PAMs/MDMs isolated from four pigs.

Experimental design and sampling
Prepared macrophages were washed with complete medium and infected with PRRSV in multiplicity of infection (MOI) 0.5 at 24 h after seeding (PAMs) or immediately after differentiation (MDMs). The medium from uninfected MARC-145 cells was used as mockinfection, and complete medium alone was used as a control. Twenty-four hours post-infection (PI) with PRRSV, macrophages were washed to remove antibiotics and subsequently infected with H. parasuis (MOI 10).
Dulbecco's PBS was used as a control solution in groups without H. parasuis. The following groups were included in the trial: (1) PRRSV + H. parasuis infected, (2) PRRSV infected, (3)

Cell mortality
Mortality of infected cells was detected using the Cyto-Tox 96 Non-Radioactive Cytotoxicity assay (Promega) following the manufacturer's instructions.

PRRSV and H. parasuis quantification
PRRSV replication in PAMs/MDMs was determined by virus titration method. The growth of bacteria was measured by spectrophotometry (A 600 nm) according to Bello-Ortí et al. [33] and Lichtensteiger and Vimr [34]. Cells were infected with PRRSV at MOI 0.5 and incubated with the virus for 2 h at 37 °C in 5% CO 2 . The cells were washed once and the complete medium was added. Twenty-four hours PI with PRRSV were macrophages infected with H. parasuis (MOI 10). Cells were frozen at −80 °C at 0, 28, 48, 72, 96 h PI with PRRSV and 4, 24, 48 and 72 h PI with H. parasuis for the evaluation of PRRSV titres and bacterial growth. The supernatant was assayed using the standard method on MARC-145 cells. The virus titres were expressed as TCID 50 /mL (50% tissue culture infectious dose per mL) to examine the virus replication in PAMs or MDMs. TCID 50 /mL was calculated by the Spearman & Kärber algorithm as described in Hierholzer and Killington [35]. Cytopathic effect was observed using light microscopy. Microscopy was performed using a microscope Olympus IX51. Supernatant for evaluation of bacteria growth was centrifuged at 6000 g for 10 min, the pellets was resuspended in DPBS and absorbance at 600 nm was measured.

Real-time RT-PCR for the detection of apoptosis related genes mRNA
Bad, Bax, p53 and Bcl-2 expression were quantified by real-time RT-PCR. RNA was isolated from harvested PAMs/MDMs using the RNeasy Mini Kit (Qiagen) following manufacturer's instructions. M-MLV reverse transcriptase (Invitrogen) and oligo-dT primers (Generi Biotech) were used for reverse transcription.
Measurements were performed using the QuantiTect SYBR Green PCR Kit (Qiagen) and gene specific primers (Generi Biotech) (Table 1) on a LightCycler 480 II with a 384-well plate block (Roche). Primers were designed using NCBI primer designing tool (http://www.ncbi.nlm. nih.gov/tools/primer-blast/). Hypoxanthine phosphoribosyltransferase (HPRT) was evaluated as the most constitutively expressed gene in our samples using RefFinder tool (http://www.leonxie.com/referencegene.php) and was selected to adjust mRNA measurements. The other tested genes which showed less stabile transcription were: TATA binding protein 1 and hydroxymethylbilane synthase. The threshold cycle values (Ct) of the genes of interest were first normalized to the Ct value of HPRT reference mRNA (ΔCt), and the normalized mRNA levels were calculated as 2( −ΔCt ). The results are presented as mean values of fold increase of the gene of interest.

Fluorescence microscopy
The cells were grown on 24 well-plates as described above. After 4 h and 24 h PI with H. parasuis, the cells were fixed with 4% paraformaldehyde, macrophages were labelled with DAPI (nuclear stain) (Sigma-Aldrich) and with Alexa Fluor (AF) 594 conjugated phalloidin (Life Technologies) to visualize the actin cytoskeleton. Microscopy was performed using an epifluorescence inverted microscope Olympus IX51 equipped with a LUCPlan-FLN 40 × (NA 0.60) objective using fluorescence mode to detect DAPI and AF-594.

Chemiluminescence assay
Production of reactive oxygen species of experimentally infected PAMs and MDMs was measured using chemiluminescence (CL). The assay was performed in Nunc-Immuno ™ MicroWell ™ 96-well polystyrene plates (Sigma-Aldrich). Cells were seeded in DMEM with 1% antibiotics and 10% FBS at a concentration of 1 × 10 5 cells per well. The cells were incubated overnight at 37 °C in 5% CO 2 . The medium with non-adherent cells was removed, and cells were infected with PRRSV at MOI 0.5 or the mock infection solution or the control medium was added. Cells were washed with Hanks' balanced salt solution (HBSS, Lonza) 24 h and 48 h PI with PRRSV. Luminol-derivative L-012 (Wako Chemicals GmbH) was added to amplify the CL induced by ROS of stimulated cells. L-012 was diluted in HBSS to the final concentration of 0.15 mmol/L. A suspension of H. parasuis (MOI 10) was then added to the cell culture containing luminol L-012, and the plate was centrifuged at 250g for 5 min. The following groups were included: (1) PRRSV + H. parasuis infected, (2) PRRSV infected, (3) mock + H. parasuis infected, (4) mock infected, (5) H. parasuis infected, and (6) non-infected control. Chemiluminescence was measured immediately after adding H. parasuis at 37 °C using a multidetection microplate reader Synergy H1 (BioTek) in kinetic mode for 2 h. The results are expressed as integrals of chemiluminescence intensity (per 1 × 10 5 viable cells) induced in PAMs/MDMs with infection(s), and data are presented as percentage relative to the non-infected control. The viability of cells was measured using the CCK-8 kit (Sigma-Aldrich), following manufacturer's instructions. Five independent experiments including culture triplicates were performed using PAMs/MDMs isolated from five pigs.

Statistical analysis
The normality of data distribution was confirmed by the Shapiro-Wilk's W test, and homogeneity of variances by the Levene's test. Experimental groups were compared with Student's t test (mortality, multinucleated giant cells) or using a non-parametric test for paired samples, (Wilcoxon signed-rank test; flow cytometry, H. parasuis growth, expression of apoptosis related genes, chemiluminescence assay). A p value of < 0.05 was considered significant, unless otherwise stated. Data were analysed using Statistica 12 (StatSoft).
The difference between the two macrophage types was further observed by the flow cytometry analysis (Figure 1). The percentage of CD163 positive cells in MDMs was similar to percentage of positive cells in PAMs (Figure 1A). On the other hand, the expression of CD163 on MDMs was significantly higher (p < 0.05) than on PAMs ( Figure 1B).

Mortality of infected MDMs/PAMs
The average mortality rates of non-infected/mock infected MDMs were 9.  (Figure 2A). H. parasuis did not affect mortality of simultaneously infected groups in both types of cells ( Figure 2). Mortality of infected PAMs was published in previous study [26]. Briefly, the mortality of non-infected/mock infected PAMs was 2.7 ± 0.6% and 9.7 ± 1.5% at 4/28 and 24/48 h PI, respectively. Observed mortality of PRRSV infected PAMs was 3.7 ± 1.5% and 16.7 ± 9.3% at 4/28 and 24/48 h PI, respectively. H. parasuis infection was not associated with increased mortality of infected PAMs  likewise the results regarding the expression of apoptosis related genes and chemiluminescence assay.

PRRSV replication in MDMs/PAMs
Cell culture medium was collected at 24, 48, 72 and 96 h to determine if elevated mortality of MDMs is related to virus replication. Our results show that PRRSV replicated in a similar pattern in both cell types ( Table 2). The highest PRRSV titres were detected in culture supernatants of infected PAMs and MDMs at 24 h PI. Cell viability after PRRSV inoculation was observed by light microscopy. Decline of MDMs viability was observed after 24 h PI with PRRSV, while a decreased number of PAMs was observed after 96 h PI with PRRSV ( Figure 3). Replication of virus was not affected by presence of H. parasuis (data not shown).

Growth of H. parasuis
Haemophilus parasuis growth was determined by spectrophotometry. H. parasuis added to the complete medium without antibiotics had absorbance at the background level at all assay times (data not shown). Growth of H. parasuis in wells with MDMs was affected by the presence of virus ( Figure 4A). In the wells with H. parasuis infected MDMs were detected higher amounts of bacteria compared to wells with co-infected MDMs.  On the other hand, the amount of H. parasuis in PAMs infected with both pathogens was higher or on the same levels as in PAMs infected only with bacteria ( Figure 4B).

Expression of apoptosis related genes
The influence of co-infection with PRRSV and H. parasuis on expression of apoptosis related genes was characterized in two types of macrophages. The degree of target gene expression was calculated as fold-expression of the reference gene hypoxanthine phosphoribosyltransferase (HPRT). Apoptosis was analysed using relative quantification of typical pro-apoptotic gene expression markers including Bad, Bax, p53 and anti-apoptotic gene Bcl-2.

MDMs
Haemophilus parasuis only and PRRSV only infected MDMs showed significant (p < 0.05) upregulation of the anti-apoptotic molecule Bcl-2 compared to controls at both assay times ( Figure 5A) Although in both groups infected with PRRSV a significant increase of the pro-apoptotic molecule p53 mRNA was induced at both assay times ( Figure 5B), the concurrent infection triggered a significantly lower response (p < 0.05) than in the PRRSV only infected group at 4/28 h PI. Expression of p53 mRNA was significantly downregulated (p < 0.05) after infection with H. parasuis alone compared to the mock infected group at 4/28 h PI.
The observed expression pattern of Bad mRNA (Figure 5C) was similar to that of p53 at 4/28 h PI, with the significantly decreased (p < 0.05) production of mRNA in H. parasuis infected MDMs in comparison with mock treated cells. The highest production of Bad mRNA (p < 0.05) was detected in PRRSV infected groups at both assay times. H. parasuis infection did not change the level of Bad mRNA expression compared to mock infected cells at 24/48 h PI.
Both groups infected with PRRSV, but not with H. parasuis alone, showed increased (p < 0.05) production of Bax mRNA at 4/28 h PI ( Figure 5D). The increased level of Bax mRNA was detected after infections with both pathogens compared to mock infection at 24/48 h PI.
Co-infection of MDMs with both pathogens did not influence the expression of Bad and Bax mRNA at both assay times compared to appropriate control.

PAMs
Haemophilus parasuis infected PAMs induced significantly higher expression of anti-apoptotic Bcl-2 mRNA in comparison with mock infected PAMs at both assay times ( Figure 5E). Expression of pro-apoptotic p53 mRNA was unchanged in all infected groups at both assay times ( Figure 5F).
Decreased expression of pro-apoptotic Bad mRNA was observed at both assay times ( Figure 5G). However, expression of the pro-apoptotic gene for Bax was up-regulated at 4 h PI with H. parasuis ( Figure 5H).
The results showed that pro-apoptotic genes like Bad and Bax were not overexpressed after infection with PRRSV in PAMs ( Figures 5G and H). PRRSV did not influence the level of Bcl-2 mRNA expression compared to mock infected cells ( Figure 5E).
Combined infection with both pathogens did not change the levels of mRNA expression of apoptosis related genes compared to appropriate controls.

Multinucleated giant cells
The cells were monitored throughout the experiment by light microscopy. Control MDMs and mock-infected cell did not change their morphology during the experiment. A 600 nm). Mock curves serve as a baseline which includes cell debris from cultivated macrophages after freezing and thawing process. Data are presented as mean with SEM of three animals measured in culture duplicates. Significant differences between co-infected cells and cells infected with H. parasuis only are denoted by *(p < 0.05).

Figure 4 Growth of H. parasuis on MDMs (A) or PAMs (B) was measured by spectrophotometry (
Excessively large cells were observed by light microscopy in the group of MDMs infected with H. parasuis at 24 h PI. Therefore, fluorescence microscopy was used and multinucleated giant cells (MGC) ( Figure 6) were detected. The number of MGC induced by the bacterium was determined under a microscope (400 ×). Results showed that the number of nuclei per 100 cells was 102 ± 2.6 in non-infected and 160.2 ± 23.8 in H. parasuis infected MDMs (p < 0.05). The percentage of MGC induced by H. parasuis was 13.6 ± 2.8%. MDMs infected with PRRSV or simultaneously infected with PRRSV and H. parasuis did not form MGC. Formation of MGC in PAMs was not observed (101.5 ± 1.2 and 101.3 ± 0.6 nuclei per 100 cells in non-infected and H. parasuis infected cells, respectively). Data shown represents means and standard errors of three independent experiments.

Chemiluminescence assay
Comparison of reactive oxygen species production by the co-infected, individually (PRRSV or H. parasuis) infected, and mock-infected macrophages is shown in Figure 7.
The highest production of ROS by MDMs was detected in the PRRSV infected group at 24 and 48 h PI (Figure 7A). On the other hand, H. parasuis reduced the production of ROS in comparison with relevant control groups at both assay times. MDMs infected with both pathogens showed decreased levels of released ROS in comparison with PRRSV infected groups at both assay times.
The observed ROS production in MDMs after infection with PRRSV and H. parasuis was similar to PAMs ( Figure 7B). Significantly enhanced (p < 0.05) production of ROS was detected in the PRRSV infected group of PAMs at 24 and 48 h PI. Conversely, H. parasuis infection significantly reduced (p < 0.05) the intensity of the detected CL response compared to the mock-infected group. A significant (p < 0.05) reduction in ROS production was also observed in the co-infected group at 24 and 48 h PI compared with PRRSV-only and mockinfected groups.
The highest level of released ROS was observed in MDMs infected with PRRSV at 48 h PI ( Figure 7A).

Discussion
PRRSV has a tropism for cells of the monocytic lineage expressing the surface molecule receptor CD163. Alveolar macrophages, as target cells and the primary replication site of PRRSV, have been one of the most widely used porcine cells for in vitro studies of PRRSV pathogenesis [36][37][38]. The available porcine blood monocytes do not express CD163, or express it at exceedingly low levels.
The expression of CD163 increases with the cultivation of monocytes and this differentiation/aging enhances susceptibility to PRRSV infection [9]. Van Gucht et al. [39] showed that CD14-positive monocytes infiltrate the lungs of pigs after PRRSV infection. Monocytes in the lungs differentiate into CD163-positive macrophages [40]. In most studies, monocytes were cultivated in the presence of M-CSF/GM-CSF [11] or using LM-929  (murine fibroblast cells expressing murine M-CSF and GM-CSF) cell supernatant [9,10,41] to prepare MDMs. In the present study, MDMs were prepared without the addition of cytokines, similarly to Vicenova et al. [31] and García-Nicolás et al. [12]. The aim of the presented study was to compare the susceptibility of two different types of macrophages to the infection with PRRS virus and to coinfection with H. parasuis. Alveolar macrophages as resident cells provide one of the first lines of defence against microbes invading lung tissue. On the other hand, monocyte derived macrophages represent naive inflammatory cells accumulating at the site of inflammation [39,40].
Sensitivity of macrophages to infection with PRRSV was the most significant observed difference between PAMs and MDMs. While alveolar macrophages were relatively resistant to cytopathogenic effect caused by PRRSV, monocyte derived macrophages were much more sensitive to PRRSV infection (Figures 2 and 3). A recent study by García-Nicolás et al. [12] showed decreased resistance to PRRSV infection of MDMs non-stimulated by cytokines. In contrast, IFN-γ or IFN-β pre-treated MDMs were protected against cytopathogenic effect caused by different strains of the PRRS virus (including strain Lelystad LVP23) [12].
Different responses of PAMs and MDMs to viral and bacterial infections were also reflected on the expression of pro-apoptotic (Bax, Bad and p53) and anti-apoptotic genes (Bcl-2) ( Figure 5). Apoptosis is a strictly regulated mechanism of cell death and is highly modulated by both pro-apoptotic and anti-apoptotic cellular factors [16]. Bax is a pro-apoptotic protein normally occurring in the cytosol which, upon induction of apoptosis, translocates to mitochondria and induces cytochrome c release [42,43]. In contrast, anti-apoptotic Bcl-2 is an integral membrane protein localized in mitochondria and has been shown to be capable of blocking spontaneous cytochrome c release [44,45]. The function of another pro-apoptotic protein Bad is supposed to form a heterodimer with Bcl-2, inactivating it and thus allowing Bax triggered apoptosis [46]. The tumour suppressor p53 is activated by external and internal stress signals that promote its nuclear accumulation in an active form and stimulates a wide network of signals that act through two major apoptotic pathways [47,48]. MDMs infected with PRRSV increased the expression of pro-apoptotic p53, Bad and Bax mRNA ( Figures 5B-D). In contrast, expression rates of these genes and Bcl-2 were unchanged in PRRSV infected PAMs (Figures 5E-H). H. parasuis infected MDMs downregulated mRNA expression of pro-apoptotic p53 and Bad at 4 h PI (Figures 5B and C). H. parasuis as a gram negative bacterium has an outer membrane containing lipopolysaccharides (LPS) and LPS-mediated survival of macrophages has been previously observed by Lombardo et al. [49]. The expression of these genes may also be associated with a significantly decreased level of ROS production after infection with H. parasuis (Figure 7A) as was already described in PAMs [26]. Oxidative stress caused by ROS has been suggested as a mediator of the intrinsic pathway of apoptosis [13,50]. On the other hand, increased mortality of MDMs may be related to an increased level of ROS production after infection with PRRSV ( Figure 7A). These results are related to the data presented by Le and Kleiboeker [13] who demonstrated that oxidative stress caused by ROS production could play a central role in PRRSV-induced apoptosis of MARC-145 cells. In addition, higher expression of the surface molecule CD163 (Figure 1B), which serves as an essential receptor for PRRSV infection [4,5], could affect the sensitivity of MDMs to PRRSV. Decrease production of ROS by H. parasuis and potential antioxidative mechanisms of bacteria was described previously in our study [26]. On the contrary, Fu et al. [51] demonstrated that H. parasuis induced ROS production in piglet mononuclear phagocytes after 3 and 6 h incubation with bacteria. This difference could be explained by different type of used cells (monocytes vs macrophages), different strain of H. parasuis used (strain SH0165 isolated from lung vs strain HP 132 strain isolated from brain) and different time of exposition to bacteria (0-2 h vs 3-6 h).
We had supposed that higher mortality of MDMs infected with PRRSV would result in decreased replication capabilities of PRRSV and reduced amounts of virus particles released into the culture supernatant compared to PRRSV-infected PAMs. Surprisingly, viral titres detected in MDMs culture supernatant and expressed as TCID 50 /mL were at similar levels as viral titres detected in the supernatant of PAMs (Table 2). In addition, PRRS virus released from MDMs remained stable over long periods of time, which could be due to the microenvironment created by decaying cells. Alternatively, surviving alveolar macrophages can effectively prevent virus replication and thereupon decrease viral load in the supernatant. Replication of virus was not affected by presence of H. parasuis in the case of simultaneously infected cells. On the other hand, the growth of H. parasuis was affected by higher mortality of MDMs after infection with PRRSV (Figure 4). Lower multiplication of H. parasuis in co-infected cells could be explained by absence of H. parasuis essential factor NAD which is produced by living cells [52].
MDMs infected with H. parasuis alone, but not in coinfection, formed multinucleated giant cells ( Figure 6). These cells originate from fusion of macrophages and have been observed after infection by intracellular pathogens such as Mycobacterium tuberculosis [53] and Burkholderia pseudomallei [54]. MGCs, also called Langhans giant cells, are frequently present in granulomas with characteristic location of the nuclei at the cell periphery in an arcuate configuration [53]. Yanagishita et al. [55] investigated the possible roles of bacterial endotoxins on macrophage multi-nucleated giant cell formation in a mouse macrophage RAW 246.7 cell line. MGC formation could represent a unique cellular response, which macrophages engage when challenged with bacterial endotoxins [55,56] or large foreign bodies that cannot be ingested [57]. MDMs when simultaneously infected with PRRSV and H. parasuis did not form multinucleated giant cells, which is partly associated with high mortality of MDMs after infection with PRRSV. Infection with PRRSV could therefore facilitate the development of a secondary bacterial infection by avoiding the formation of MGCs by macrophages.
In conclusion, concurrent infection of PAMs or MDMs with PRRSV and H. parasuis was performed in vitro and differences dependent on the macrophage type were described. Higher mortality of MDMs infected with PRRSV compared with infected PAMs was observed. MDMs infected with PRRSV also produced higher amounts of ROS and increased the expression of proapoptotic genes compared to PAMs. Higher sensitivity of MDMs to PRRSV infection, which is associated with limited MDMs survival and restriction of MGC formation, could contribute to the development of multifactorial respiratory disease of swine.