RIPK3-Dependent Recruitment of Low-Inflammatory Myeloid Cells Does Not Protect from Systemic Salmonella Infection

Macrophages employ multiple strategies to limit pathogen infection. For example, macrophages may undergo regulated cell death, including RIPK3-dependent necroptosis, as a means of combatting intracellular bacterial pathogens. However, bacteria have evolved mechanisms to evade or exploit immune responses. Salmonella is an intracellular pathogen that avoids and manipulates immune detection within macrophages. We examined the contribution of RIPK3 to Salmonella-induced macrophage death. Our findings indicate that noninvasive Salmonella does not naturally induce necroptosis, but it does so when caspases are inhibited. Moreover, RIPK3 induction (following caspase inhibition) does not impact host survival following Salmonella systemic infection. Finally, our data show that RIPK3 induction results in recruitment of low-inflammatory myeloid cells, which was unexpected, as necroptosis is typically described as highly inflammatory. Collectively, these data improve our understanding of pathogen-macrophage interactions, including outcomes of regulated cell death during infection in vivo, and reveal a potential new role for RIPK3 in resolving inflammation.

M acrophages are key players in innate immunity that not only ingest and degrade bacterial pathogens but also orchestrate inflammatory responses. Regulated, lytic macrophage death has emerged as an important strategy to resolve infection by eliminating the replicative niche of intracellular pathogens and inducing inflammatory responses important for bacterial clearance (1). Notably, bacterial pathogens have evolved mechanisms to evade and/or exploit immune responses to prolong infection (2) in part through precise and coordinated expression of virulence traits (3).
Salmonella enterica serovar Typhimurium causes acute gastroenteritis that can result in severe systemic infections in immunocompromised hosts (3). S. Typhimurium infection can be simply characterized as occurring in two phases: intestinal, in which S. Typhimurium invades epithelial cells, and systemic, in which S. Typhimurium survives and replicates within macrophages. During infection, S. Typhimurium spatiotemporally regulates virulence gene expression during these phases (4) to manipulate host cell processes, including immune responses. Intestinal S. Typhimurium expresses a type 3 secretion system (T3SS) and effectors encoded within the Salmonella pathogenicity island 1 (SPI-1) (5). SPI-1-expressing S. Typhimurium organisms are highly invasive and trigger entry into nonphagocytic epithelial cells. Additionally, SPI-1 expression within epithelial cells induces caspase-1-dependent cell death, called pyroptosis (1,(6)(7)(8).
Although pyroptosis limits S. Typhimurium dissemination (6), concomitant epithelial cell extrusion also provides a means for S. Typhimurium to reseed the lumen (7). Conversely, within macrophages, S. Typhimurium represses SPI-1 expression (4) and upregulates a second T3SS encoded within SPI-2 to prevent and manipulate immune responses (4), respectively. In agreement with S. Typhimurium transcriptional silencing of SPI-1 within macrophages, pyroptosis does not occur within the myeloid cell compartment and does not restrict systemic dissemination during early stages of infection (6).
S. Typhimurium gene expression can be manipulated in vitro using growth conditions that induce or repress SPI-1 expression, resulting in invasive or noninvasive phenotypes, respectively, and this determines the outcome of S. Typhimuriummacrophage interactions. Experimental use of invasive S. Typhimurium has provided invaluable insights into cellular processes and immune mechanisms, including pyroptosis (9). However, invasive S. Typhimurium may not be physiologically relevant (6) and may not reveal processes that influence the outcome of S. Typhimurium-macrophage interactions. For example, invasive S. Typhimurium causes rapid macrophage death (10) (Fig. 1A), whereas noninvasive S. Typhimurium causes macrophage death after 18 to 24 h in a dose-dependent manner (11,12) (Fig. 1B and C) that was originally described as apoptosis (13). More recently, S. Typhimurium was reported to cause necroptosis (14), a programmed form of necrotic cell death that requires the signaling activity of RIPK3, a member of the RIPK family of nonreceptor serine threonine kinases (15). Here, we re-evaluated the importance of RIPK3 for macrophage death during noninvasive S. Typhimurium infection and the consequence for infection outcome.
Following infection, noninvasive S. Typhimurium caused ϳ25% death in both wild-type (WT) and Ripk3 Ϫ/Ϫ bone marrow-derived macrophages (BMDMs), based on ATP quantification (Fig. S1A) and lactate dehydrogenase (LDH) release (Fig. S1B). Additionally, Ripk3 Ϫ/Ϫ BMDMs displayed levels of annexin V and 7-AAD staining similar to those of WT BMDMs ( Fig. 1D and E), indicating that noninvasive S. Typhimurium did not trigger RIPK3-dependent necroptosis. Caspase-8 inhibits RIPK3 activity (16) and prevents RIPK3-dependent death in S. Typhimurium-infected epithelial cells (17). To test whether caspase inhibition triggers RIPK3-dependent death, BMDMs were harvested from WT and Ripk3 Ϫ/Ϫ littermate mice and treated with the pan-caspase inhibitor Z-VAD-FMK. After 18 h of infection with noninvasive S. Typhimurium, caspase inhibition resulted in significantly higher levels of death in WT macrophages but not Ripk3 Ϫ/Ϫ macrophages ( Fig. 1D and E). We confirmed these results by treating WT BMDMs with the pharmacological RIPK3 inhibitor GSK=872. In the absence of caspase inhibition, GSK=872 did not alter S. Typhimurium-induced BMDM death compared to vehicle control (Fig. 1F), thus confirming our results obtained from knockout mice. However, GSK=872 prevented BMDM death following caspase inhibition (Fig. 1F). To substantiate these results, we measured cell death of primary macrophages derived from immortalized HoxB8 progenitor cells (18,19), after S. Typhimurium infection and treatment with Z-VAD-FMK alone or in conjunction with GSK=872. These data were similar to For panels D to F, macrophages were infected with an S. Typhimurium at an MOI of 10. For panels A and E to G, statistical significance was determined by ordinary one-way analysis of variance (ANOVA) with Tukey's multiple-comparison test. For panels B and C, statistical significance was determined by Student's t test. For panels H and I, statistical significance was determined by two-way ANOVA with Sidak's multiple-comparison test. ns, not significant (P Ͼ 0.05); *, P Յ 0.05; ***, P Յ 0.0005; ****, P Ͻ 0.0001. results shown in Fig. 1F; however, addition of GSK=872 to Z-VAD-FMK-treated HoxB8 cells resulted in decreased cell death compared to vehicle-treated cells (Fig. 1G). C57BL/6 mice harbor a nonfunctional nramp-1 gene, which encodes a lysosomal membrane protein in monocytes and macrophages (20) and results in hypersusceptibility to S. Typhimurium infection. To examine whether our results depended on Nramp1, we treated BMDMs derived from CBA mice, which carry a functional nramp-1 gene, with GSK=872 and/or Z-VAD-FMK. These data were similar to data from C57BL/6 macrophages (Fig. 1H) and indicate that in the absence of caspase inhibition, RIPK3 does not influence BMDM viability following S. Typhimurium infection regardless of Nramp1. Pan-caspase inhibition (via Z-VAD-FMK) triggers lipopolysaccharide (LPS)dependent death in macrophages (21). Therefore, to test whether caspase inhibitioninduced cell death was specific to S. Typhimurium infection, we infected BMDMs with commensal Escherichia coli HS, a strain which was isolated from the stool of a healthy laboratory scientist (22)(23)(24). Infection with E. coli in the absence or presence of GSK=872 did not result in macrophage death; however, we measured decreased viability following caspase inhibition, which was rescued by RIPK3 inhibition (Fig. 1I). Altogether, these data indicate that noninvasive S. Typhimurium does not naturally cause RIPK3dependent macrophage death and that caspase inhibition results in RIPK3-dependent death.
RIPK3-induced necroptosis has been suggested as a means by which S. Typhimurium evades immune responses during systemic infection (14) and thus exacerbates infection. To test this, we intraperitoneally injected S. Typhimurium into WT and Ripk3 Ϫ/Ϫ littermate mice following vehicle or Z-VAD-FMK treatment (see Fig. S2 for the experimental setup). WT and Ripk3 Ϫ/Ϫ mice succumbed to infection at similar rates, and caspase inhibition did not impact outcome ( Fig. 2A). In agreement with the in vitro macrophage studies, Nramp1 did not affect mouse survival in the context of caspase inhibition (Fig. S3). Consistent with similar mouse survival, S. Typhimurium was recovered from the spleens of Z-VAD-FMK-and vehicle-treated mice at similar numbers at 2 and at 4 days postinfection (dpi) (Fig. 2B).
The manner in which a cell dies can influence subsequent immune signaling and inflammation (1). Profiling of the immune cells (based on the gating strategy shown in Fig. S4) in the peritoneal cavity at 2 dpi indicated similar numbers of neutrophils as well as large and small peritoneal macrophages in Z-VAD-FMK-treated infected mice compared to vehicle-treated infected mice (Fig. 2C to F). Next, we further sorted the monocytes based on Ly6C expression. Ly6C hi (Ly6C hi CCR2 hi CX 3 CR1 lo ) monocytes are often referred to as inflammatory monocytes, in contrast to Ly6C lo (Ly6C lo CCR2 lo CX 3 CR1 hi ) monocytes (25). Ly6C hi monocytes directly contribute to host defense via the production of antimicrobial inducible nitric oxide synthase (iNOS) and indirectly through the expression of proinflammatory cytokines and stimulation of the adaptive immune response (25). In contrast, less is known about the role of Ly6C lo monocytes during bacterial infection. In WT mice, Ly6C hi monocytes were recruited during S. Typhimurium systemic infection (26,27) (Fig. 2G and H). Notably, we measured an increase in Ly6C lo cells and a corresponding decrease in the proportion of Ly6C hi cells in Z-VAD-FMK-treated wild-type mice compared to vehicle-treated, S. Typhimuriuminfected mice (Fig. 2G to I). Caspase inhibition-induced Ly6C lo myeloid population dynamics were dependent on RIPK3, as no differences in Ly6C populations were measured in Z-VAD-FMK-treated Ripk3 Ϫ/Ϫ mice compared to infection-matched, vehicle-treated Ripk3 Ϫ/Ϫ mice (Fig. 2G to I). Shifts in myeloid populations have recently been observed in mice given systemic LPS; however, the importance of RIPK3 for this finding was not tested (28). Moreover, although caspase inhibition protected mice from inert LPS (28), our studies suggest that RIPK3 induction does not protect mice from active Gram-negative bacterial infection or limit bacterial burden.
Collectively, our data indicate that noninvasive S. Typhimurium does not trigger RIPK3-dependent macrophage death and that when induced, RIPK3 does not influence systemic S. Typhimurium infection. These data highlight the ability of S. Typhimurium to evade immune detection to maintain its reservoir. Here, we accounted for littermate controls, different vivaria (University of Virginia and VIB/University of Gent), and mouse genetic backgrounds. Furthermore, our study reveals that necroptosis (resulting from the use of a pan-caspase inhibitor) leads to differential myeloid populations during infection but fails to protect the host from the outcomes of acute infection. Ly6C lo cells are associated with anti-inflammatory processes (29), including production of the anti-inflammatory cytokine interleukin 10 (IL-10) (30), which suggests that RIPK3 activation may contribute to the resolution of low-grade or chronic infection. This idea is consistent with a recent study that reported increased levels of IL-10 production by macrophages deficient in the pyroptotic executioner caspases 1 and 11 in vitro (31). Altogether, these data underscore a role for necroptosis in limiting excessive inflammation during bacterial infection (32); however, this idea requires additional investigation.
Materials and methods are provided in Text S1.