1. Introduction
The species belonging to the genus
Salmonella are of particular interest given their high degree of dissemination in the population. Actually, their pathogenicity and resistance to antibiotics makes them part of the group of emergency microorganisms for the development of new antibiotics [
1].
Salmonella enterica is a facultative intracellular, Gram-negative, flagellated bacillus that causes gastrointestinal diseases in humans and animals. According to its serological characteristics,
S. enterica is classified into several serovars, the most important are
S.
enterica serovar Typhi and
S. enterica serovar Typhimurium. It is estimated that
S. Typhi infects 10.9 million people worldwide annually and causes approximately 116,800 deaths related to typhoid fever in the same period of time [
2,
3,
4]. Meanwhile,
S. Typhimurium, and others species of non-typhoid
Salmonella (NTS), causes 94 million infections worldwide [
4].
In humans,
S. Typhimurium induces a self-limiting gastrointestinal infection that differs from typhoid fever caused by
S. Typhi, however, mice infected with
S. Typhimurium present a disease similar to human typhoid fever, therefore they are an appropriate study model for understanding this disease and developing therapies to alleviate it [
4].
S. Typhimurium is acquired orally mainly by contaminated food and binds to epithelial cells of the small intestine through the expression of adhesins and fimbriae. Furthermore,
Salmonella uses virulence factors to cross the epithelial barrier, which can be by crossing the M cells of Peyer’s patches, promoting their internalization by non-phagocytic enterocytes, disrupting the adherent unions of the epithelium or being phagocytosed by immune cells such as macrophages. Once
Salmonella lies within cytoplasmic vacuoles, it starts its replicating process and spreads through mesenteric lymph nodes to colonize organs like the liver and spleen. Intestinal damage and inflammation causes the recruitment of neutrophils and the release of pro-inflammatory cytokines, such as: IL-8, IL-10, IL-1β and IL-23, among others [
5,
6]. This, added to the appearance of multi-drug resistant strains, has led to the need to generate new antibacterial agents that are not very prone to the development of resistance and that consider the host’s immune response as part of their mechanism of action [
7,
8].
A proposal for drugs that meet these conditions are the antimicrobial peptides (AMP) recently redesigned as host defense peptides (HDP). These peptides are generally short cationic amino acid chains, amphipathic and widely distributed in nature. They can prevail as alpha helices, beta chains, random structures or as a combination of these three structures [
9]. As mentioned previously, HDP are present in a wide variety of living organisms, such as plants, animals and insects.
Particularly, scorpion venom is an important source of medicinal molecules and several HDP [
10]. Taking this into consideration, the synthetic antimicrobial peptides Pin2[G] and FA1 were developed, the first is a derivative of pandinin 2 from
Pandinus imperator [
11,
12] and the second one is a chimera of two HDPs, the region N-terminal of vejovine and the C-terminal of hadrurin, from
Vejovis mexicanus and
Hadrurus gertschi, respectively [
13]. Previously, its ability to counteract infections against reference strains and clinical isolates of
Staphylococcus aureus and
Pseudomonas aeruginosa was reported at in vitro level and in in vivo models of skin infection [
14]. At the same time, it was observed that both peptides have certain effects on the release of MCP-1 and IL-6 by RAW 264.7 and HBE macrophages [
14]. Furthermore, in a model of gastrointestinal infection by
S. Typhimurium ATCC 14028, it was observed that the administration of Pin2[G] intravenously reduces bacterial presence in feces, but does not completely inhibit it. Therefore, our interest arises to understand the role of such peptides as immunomodulators in this type of infections.
Here we show that both peptides promote phagocytosis of S. Typhimurium by macrophages and modulate the release of inflammatory cytokines under basal and infection conditions. Although intestinal infection in murine models was not resolved, there was a decrease in the number of CFUs isolated from feces and some protection towards infection behavior accompanied by reduced cytokine levels in plasma. Thus, Pin2[G] and FA1 could be considered as leads for developing therapeutic peptides against intestinal infections by S. Typhimurium.
3. Discussion
Understanding antimicrobial and immunological characteristics of AMPs could perhaps place them at the forefront in the fight against diseases caused by multidrug resistant bacteria [
17]. One factor to consider is that, during the resolution of an infection, antimicrobial and immunomodulatory qualities could act together. Even a peptide that lacks antibacterial effect can eliminate a bacterial infection due to its effect on the immune system by modulating the release of inflammatory molecules or by activating cellular events such as chemotaxis, phagocytosis, proliferation or cellular polarization [
18,
19].
Although particular effort has been made to implement therapies based on the use and stimulation of the release of natural human AMP, like cathelicidins and beta-defensins, the relevance and variety of antimicrobial peptides that can be obtained from lower animals such as venomous spiders, scorpions, snakes and frogs is undeniable [
20]. In previous studies, the antimicrobial effect of the synthetic peptides Pin2[G] and FA1 was demonstrated against multidrug-resistant clinical isolates of
Staphylococcus aureus and
Pseudomonas aeruginosa in topical infection models, as well as their effect against erythrocytes and leukocyte cell lines [
14]. Furthermore, their stability in various physiological fluids and culture media was observed [
21]. This led us to consider them as viable agents in the treatment of bacterial infections.
Here, we tested the potential of Pin2[G] and FA1 as antimicrobial peptides and host defense peptides, against gastrointestinal infection by
Salmonella Typhimurium. This, considering their immunological potential as modulators of inflammation by cytokines and surveillance at in vitro and in vivo level. At in vitro level, it was observed that both peptides have certain effects on the viability of bone marrow-derived macrophages (BMDM) and the RAW 264.7 cell line by decreasing it at different concentrations. This decrease is not representative, in the case of FA1, but it is in that of Pin2[G]. Thus, the range of use of Pin2[G] turns out to be more limited, which should be considered to improve treatment at the systemic level. An interesting observation is that macrophage toxicity was not a concentration-dependent event, which is the classic mechanism of action of AMPs. Therefore, some other biochemical mechanisms may be hampered at low concentrations of such peptides; for instance, peptide interaction with some cell targets that affect viability, or even interference with DNA replication. This effect of subinhibitory concentrations of peptides has previously been reported [
22,
23]. However, a more detailed explanation requires collecting more information related to the interaction of Pin2[G] and FA1 with proteins or genetic elements of immune cells.
Likewise, it is interesting to note that Pin2[G] stimulates phagocytosis of
S. Typhimurium by BMDM at low concentrations (0.31–1.25 µg/mL) and with 0.31 µg/mL on RAW 264.7 cells, an effect that was also achieved with FA1 at a concentration range from 1.17 to 4.69 µg/mL in BMDM. While in RAW 264.7 cells, this effect occurs by FA1 at 1.17 and from 4.69–18.75 µg/mL. FA1 also decreased the phagocytic action of both cell types at 37.5 µg/mL, which refers to a range of activity also present in other peptides [
24].
Regarding the cytokine expression profiles in RAW 264.7 cells, it was observed that Pin2[G] at 10 µg/mL increases the release of MCP-1. At the same time, TNF liberation was stimulated from 1.25 to 10 µg/mL of Pin2[G] and from 18.75 to 75 µg/mL of FA1.
On the other hand, cells challenged with peptides and subsequently infected with
Salmonella Typhimurium presented a different profile, first, both peptides decrease MCP-1 and TNF levels, but the main differences lie in IL-12p70, IL-10 and IFN-γ, which were stimulated by FA1 at 37.5, 75 and 150 μg/mL, respectively, while Pin2[G] rises the expression of IL-12p70 with 1.25 μg/mL. The mentioned cytokines are usually among the most studied, because they are the most relevant in terms of activating several immune processes. This is why it is known that peptides such as KT2, RT2, cathelicidin LL-37 and defensins HBD2 and HBD3 also have an inhibitory effect on the release of inflammatory cytokines [
18,
25,
26].
Although both types of macrophages belong to the same cell lineage, their response to this two HDPs was particular of each one. This might be related to being a commercial lineage, in the case of RAW 264.7, or a wild type model, talking about BMDM, which adds evidence to the importance in the choice of the biological model during the development of experiments that involves cellular response to external stimulus.
With reference to the in vivo model of gastrointestinal infection by Salmonella Typhimurium, it was observed that treatment with Pin2[G] (2.5 mg/kg) reduces the bacterial load and promotes inflammation by stimulating the release of IL-6 and IL-12p70, but diminishing the release of IFN-γ; thus far it is unknown if these effects are related between them. On the other hand, FA1 (5 mg/kg) decreases bacterial load without inhibiting it, in addition to decreasing the expression of IFN-γ, IL-6 and MCP-1 at the time increasing the release of IL-10 in plasma, thus presenting an anti-inflammatory effect. This could be associated with the conservation of the physical state of the mice, which was reflected by their constant weight during the time that the treatment lasted. Here, we would like to highlight how Pin2[G] has an anti-inflammatory profile in vitro and inflammatory in vivo, while FA1 acts as an anti-inflammatory in both cases.
Although both peptides do not completely eliminate the infection, they do decrease bacterial load in feces, at the same time modulating the immune response. This effect has been seen in other infection models that were also treated with antimicrobial peptides [
27,
28,
29,
30]. Therefore, the possibility that a modification in the dosage, or its use in conjunction with antibiotics, will allow development of better conditions for treatment that takes into account both microbiological and immunological aspects. We are currently working on the design of treatments based on the joint administration of FA1 or Pin2[G] together with ceftriaxone. Although some interesting results have been observed at the level of cytokine expression profiles, we still need to verify this information to eventually publish it.
As was mentioned, some antimicrobial peptides obtained from insects and arachnids have high potential as antibacterials and immunomodulators [
10,
20]. Such is the case of the peptide from the scorpion,
Tityus obscurus, ToAP2, which promotes chemotaxis of peritoneal macrophages in C57BL/6 mice infected with
Mycobacterium massiliense [
31]. Furthermore, melittin, a bee peptide, causes cell death of PMBC by apoptosis [
32]. Or that of cecropin AD, which protects weaned pigs from intestinal infection by
Escherichia coli by enhancing their immune response [
33]. Furthermore, the antifungal peptide TistH, from the scorpion,
Tityus stigmurus, inhibits the growth of
Candida albicans and
C. tropicalis without being cytotoxic to murine leukocytes and devoid of inflammatory effects in mice [
34]. Therefore, Pin2[G], a peptide derived from
Pandinus imperator [
11,
20], and FA1, a chimera synthetic peptide derived from the scorpions,
Vaejovis mexicanus and
Hadrurus gertschi [
13], are modified antimicrobials peptides of natural origin that could favor the development of novel molecules, with interesting antibacterial and immune effects.
Lastly, the door is open to deeply study the effects of AMPs/HDPs on different cells, tissues and organisms, in order to have a better understanding of their mechanism of action that in turn will lead us to the development of new therapeutic agents to counteract infectious diseases caused by multidrug-resistant bacteria.
4. Materials and Methods
4.1. Bacterial Strains and Cell Lines
Salmonella enterica serovar Typhimurium ATCC 14028 (S. Typhimurium) stored at −76 °C in 30% glycerol was used in this study. A S. Typhimurium striatum was performed on Xylose-Lysine deoxycholate (XLD) agar and incubated overnight at 37 °C. Isolated colonies were obtained, and one of these was inoculated in 3 mL of LB broth and incubated at 37 °C for 18 h. This process was used for the in vitro and in vivo experiments. On the other hand, the macrophage cell line RAW 264.7 from BALB/c mice was kindly donated by Drs. Mayra Silva Miranda and Silvia Andrea Moreno Mendieta from the Institute for Biomedical Investigation at the National Autonomous University of Mexico. For the viability and phagocytic activity assays, RAW 264.7 cells were grown in RPMI broth supplemented with 10% of inactivated fetal bovine serum iFBS at 37 °C with 5% CO2 and seeded on 96 wells plates at a density of 1 × 105 cells/well.
4.2. Animals
For gastric infection models, BALB/C male mice weighing 19–22 g were used. They were kept in separate boxes by working group in light/dark conditions 12:12 h with food and water ad libitum. Recommendations of the Guide for the care and use of laboratory animals [
35] were followed to ensure the correct use of animals. All animal procedures were approved by the bioethics committee of the Institute of Biotechnology, UNAM, based on NOM-062-ZOO-1999, project number 317 [
36].
4.3. Viability Assay
To determine the effect of the peptides on cell integrity, CellTiter 96 AQueous reagent was used, which contains a tetrazolium (3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-reagent. 2-(4-sulfophenyl)-2H-tetrazolium, MTS) and an electron coupler (phenazine ethosulfate, PES). This assay consists on the reduction of MTS by living cells in a soluble formazan product in culture medium, whose absorbance can be measured at 490 nm. Formazan production is directly proportional to living cells. For this, murine macrophages RAW 264.7 or bone marrow derived macrophages (BMDM) from C57BL/6 mice were seeded in 96-well plates at a density of 1 × 10
5 cell/well with RPMI+10%iFBS. Macrophages were exposed to different Pin2[G] (0.08, 0.16, 0.31, 0.63, 1.25, 2.5, 5 and 10 µg/mL) or FA1(1.17, 2.34, 4.69, 9.38, 18.75, 37.5, 75 and 150 µg/mL) concentrations. Such peptide concentrations were used based on a previous report; that is, Pin2 [G] and FA1 concentrations higher than 10 and 150 µg/mL, respectively, are toxic for RAW 264 cells [
14]. Macrophages treated with 0.5% Triton or left without stimulation were considered as negative and positive controls, respectively. After 24-h incubation with the peptides at 37 °C in 5% CO
2, supernatants were separated and stored at −72 °C for subsequent cytometry analysis. Fresh culture medium and 20 µL of CellTiter 96 AQueous One Solution Reagent was added and incubated for an hour at the conditions already mentioned. Absorbance at 490 nm was recorded using a plate reader. Experiments were carried out in triplicate. Results are shown as percentage of viability in regard to negative control.
4.4. Phagocytosis Stimulation
To observe whether macrophages stimulated with peptides increased their ability to engulf
Salmonella Typhimurium phagocytosis stimulation assays were performed. For this, 1 × 10
5 RAW 264.7 or BMDM were seeded in 96-well plates with RPMI medium + 10% iFBS and incubated overnight at 37 °C with 5% CO
2. Subsequently, cell culture medium was removed and replaced with new medium RPMI supplemented with different concentrations of FA1 (1.17–150 µg/mL) or Pin2[G] (0.08–10 µg/mL) these cells were incubated at 37 °C with 5% CO
2 for 24 h. Henceforward, supernatants were removed and frozen at −20 °C for further analysis by flow cytometry. Later, new medium with 1 × 10
6 S. Typhimurium ATCC14028 was added at a 1:10 ratio, infected cells were incubated for 30 min. The culture medium was then removed and frozen at −20 °C for further analysis by flow cytometry. Next, cells were washed three times with PBS before new supplemented culture medium containing gentamicin (100 µg/mL) was added to eradicate the remaining
S. Typhimurium cells in the wells. One hour later, the culture medium was removed and plates were washed twice with PBS. Intracellular bacteria were recovered as previously reported [
37]; briefly, 100 µL of 0.05% Triton X-100 were added to each well to lyse macrophages, this suspension was centrifuged at 6000×
g for 8 min. Supernatant was decanted and the pellet was resuspended in 1 mL of sterile PBS. Serial dilutions were then made and seeded on Xylose-Lysine deoxycholate (XLD) agar and incubated at 37 °C overnight. The number of colonies was counted and multiplied by the corresponding dilution factor to determine the number of bacteria recovered from macrophages. Each test was done in triplicate in three independent experiments. Controls of macrophages without peptide and infected with
Salmonella Typhimurium, as a reference for basal phagocytosis without stimulus, and macrophages without peptide and without infection, to verify sterility of the culture medium were used.
4.5. Gastric Model Infection
Male BALB/c mice of 19–22 g were used for the infection model. Previously, we measured effects of several concentrations of Pin2[G] and FA1 on mice viability [
14], this allowed us to stablish an innocuous dose for mice treatment. Hence, mice were divided into four groups (n = 3); infected mice receiving (1) PBS, (2) Pin2[G] (2.5 mg/kg), (3) FA1 (5 mg/kg) and (4) ceftriaxone (70 mg/kg). Furthermore, a group without infection as a control was included (n = 3). Data was from three independent experiments.
To induce infection, mice were sedated with chloroform, and a probe was orally introduced to administer 107 CFU of Salmonella Typhimurium ATCC14028 in 200 µL of PBS, or just sterile PBS to uninfected mice. Each group was separated into different cages and kept in 12:12 h light/dark conditions with food and water ad libitum. Before and 24 h after infection, feces were collected from each mouse to determine the number of S. Typhimurium CFUs present per gram of fecal matter by serial dilutions seeded in XLD agar.
Each day, mice were weighed, behavior conditions were recorded, feces were collected to determine the number of bacteria and the treatment was administered intravenously at a volume of 200 µL. After three days of treatment, and after collecting the last stool sample, mice were sacrificed and the liver and blood were collected in sterile vials with EDTA. The liver was macerated in PBS and aliquoted to quantify bacteria. Blood was centrifuged at 1000× g for 5 min to separate plasma, which was frozen at −20 °C to determine cytokine profile expression.
4.6. Bacterial Quantification
To evaluate the evolution of the infection and the effect of the treatment, the number of CFU in feces was determined. For this, feces were collected in 2 mL Eppendorf tubes previously weighed, and after the collection, they were weighed again to calculate the weight of feces. Next, 1 mL of PBS was added to dilute the stool and from this, serial dilutions were made. Each dilution was seeded in triplicate on plates with XLD agar, which, being a differential medium, allows the identification of S. Typhimurium. Plates were incubated for 18 h at 37 °C and the number of colony-forming units by dilution was counted. This allowed us to determinate the number of CFUs per gram of feces (CFU/g). Each experiment was repeated three times. This same procedure was followed to determine the presence of S. Typhimurium in the liver.
4.7. Cytokine Profiles
The immunomodulatory potential of antimicrobial peptides was evaluated by determining the cytokine expression profiles. The levels of IL-6, IL-10, MCP-1, IFN-γ, IL-12p70 and TNF secreted by RAW 264.7 macrophages to the culture medium or in the plasma from mice infected with S. Typhimurium were analyzed by flow cytometry. For this, the BD cytometric bead array (CBA) mouse inflammation kit (Catalog No. 552364) was used following the manufacturer’s instructions. Briefly, reaction was made from a Master mix containing 5 µL of each antibody for the number of reactions to be done. Diluent solution was added to this mixture so that the volume per reaction was 50 µL of the Master mix. To this volume, 50 µL of the test sample and 25 µL of PE were added. The reaction was incubated for 2 h in the dark. Subsequently, 1 mL of wash buffer was added, and it was centrifuged for 5 min at 200× g. Finally, 350 µL of wash buffer was added and it was read on an Attune NxT cytometer in which 10,000 events were recorded at a flow of 100 µL/min. Results were analyzed with the FlowJo vX.0.7 program. A graph was generated comparing the size (FWD) with the complexity (SSC) of the spheres. In this way the regions of interest corresponding to the fluorescence of PE bound to the antibody were delimited and the fluorescence intensity corresponding to each cytokine was measured. With these values the concentration of each cytokine was calculated in picograms per milliliter (pg/mL). This measurement was made with two independent samples.
4.8. Statistical Analysis
The least significant difference method was used to determine whether statistically significant differences occurred among the mean values obtained using the software package Prism 6 (GraphPad Prism, v. 6.01, La Jolla, California, USA). For cytokine profiles and phagocytosis stimulation and viability assay, one-way analysis of variance (ANOVA) was applied to independent experiments with Fisher’s test, each done in triplicate with the GraphPad Prism 6 program. For Salmonella Typhimurium infection in vivo model data was analyzed with two-way ANOVA with Dunnet’s multiple comparison test. Results show the average of these experiments with standard deviation. p values less than 0.05 were considered statistically significant.