<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2017.01011</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Btp Proteins from <italic>Brucella abortus</italic> Modulate the Lung Innate Immune Response to Infection by the Respiratory Route</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Hielpos</surname> <given-names>Maria Soledad</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/432271"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Ferrero</surname> <given-names>Mariana C.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/468298"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Fern&#x000E1;ndez</surname> <given-names>Andrea G.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/468299"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Falivene</surname> <given-names>Juliana</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/445609"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Vanzulli</surname> <given-names>Silvia</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/468262"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Comerci</surname> <given-names>Diego J.</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/75604"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Baldi</surname> <given-names>Pablo C.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="cor1">&#x0002A;</xref>
<uri xlink:href="http://frontiersin.org/people/u/404135"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Universidad de Buenos Aires, Facultad de Farmacia y Bioqu&#x000ED;mica, C&#x000E1;tedra de Inmunolog&#x000ED;a</institution>, <addr-line>Buenos Aires</addr-line>, <country>Argentina</country></aff>
<aff id="aff2"><sup>2</sup><institution>CONICET-Universidad de Buenos Aires, Instituto de Estudios de la Inmunidad Humoral (IDEHU)</institution>, <addr-line>Buenos Aires</addr-line>, <country>Argentina</country></aff>
<aff id="aff3"><sup>3</sup><institution>Instituto de Investigaciones Biotecnol&#x000F3;gicas (IIB, UNSAM-CONICET)</institution>, <addr-line>San Mart&#x000ED;n</addr-line>, <country>Argentina</country></aff>
<aff id="aff4"><sup>4</sup><institution>Laboratorio de Anatom&#x000ED;a Patol&#x000F3;gica, Instituto de Estudios Oncol&#x000F3;gicos, Academia Nacional de Medicina</institution>, <addr-line>Buenos Aires</addr-line>, <country>Argentina</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Amy Rasley, Lawrence Livermore National Laboratory (DOE), United States</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Rance E. Berg, University of North Texas Health Science Center, United States; Fernanda Ferreira Cruz, Federal University of Rio de Janeiro, Brazil</p></fn>
<corresp content-type="corresp" id="cor1">&#x0002A;Correspondence: Pablo C. Baldi, <email>pablobal&#x00040;ffyb.uba.ar</email></corresp>
<fn fn-type="other" id="fn001"><p><sup>&#x02020;</sup>These authors have contributed equally to this work.</p></fn>
<fn fn-type="other" id="fn002"><p>Specialty section: This article was submitted to Microbial Immunology, a section of the journal Frontiers in Immunology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>24</day>
<month>08</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>8</volume>
<elocation-id>1011</elocation-id>
<history>
<date date-type="received">
<day>17</day>
<month>04</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>07</day>
<month>08</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017 Hielpos, Ferrero, Fern&#x000E1;ndez, Falivene, Vanzulli, Comerci and Baldi.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Hielpos, Ferrero, Fern&#x000E1;ndez, Falivene, Vanzulli, Comerci and Baldi</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Although inhalation of infected aerosols is a frequent route for <italic>Brucella</italic> infection in humans, it rarely causes pulmonary clinical manifestations, suggesting a mild or nearly absent local inflammatory response. The goal of this study was to characterize the early innate immune response to intratracheal infection with <italic>Brucella abortus</italic> in mice and to evaluate whether it is modulated by this pathogen. After infection with 10<sup>6</sup>&#x02009;CFU of <italic>B. abortus</italic>, the pulmonary bacterial burden at 7&#x02009;days post-infection (p.i.) was comparable to the initial inoculum, despite an initial transient decline. <italic>Brucella</italic> was detected in spleen and liver as early as 1&#x02009;day p.i. IL-1&#x003B2; and MCP-1 increased at 3&#x02009;days p.i., whereas IL-12, KC, TNF-&#x003B1;, and IFN-&#x003B3; only increased at 7&#x02009;days p.i. Histological examination did not reveal peribronchial or perivascular infiltrates in infected mice. Experiments were conducted to evaluate if the limited inflammatory lung response to <italic>B. abortus</italic>is caused by a bacterial mechanism of TLR signaling inhibition. Whereas inoculation of <italic>E. coli</italic> LPS to control mice [phosphate-buffered saline (PBS)/LPS] caused lung inflammation, almost no histological changes were observed in mice preinfected intratracheally with <italic>B. abortus</italic> (WT/LPS). We speculated that the <italic>Brucella</italic> TIR-containing proteins (Btps) A and B, which impair TLR signaling <italic>in vitro</italic>, may be involved in this modulation. After LPS challenge, mice preinfected with the <italic>B. abortus btpAbtpB</italic> double mutant exhibited a stronger pulmonary polymorphonuclear infiltrate than WT/LPS mice, although milder than that of the PBS/LPS group. In addition, lungs from <italic>B. abortus btpAbtpB</italic>-infected mice presented a stronger inflammatory infiltrate than those infected with the WT strain, and at day 7 p.i., the pulmonary levels of KC, MCP-1, and IL-12 were higher in mice infected with the mutant. This study shows that <italic>B. abortus</italic> infection produces a mild proinflammatory response in murine lungs, partially due to immune modulation by its Btp proteins. This may facilitate its survival and dissemination to peripheral organs.</p>
</abstract>
<kwd-group>
<kwd><italic>Brucella abortus</italic></kwd>
<kwd>respiratory infection</kwd>
<kwd>innate immunity</kwd>
<kwd>immunomodulation</kwd>
<kwd>inflammation</kwd>
</kwd-group>
<contract-num rid="cn01">PICT 2013-0170, PICT 2014-3359, PICT-CABBIO 2014-0601</contract-num>
<contract-num rid="cn02">20020130100151BA</contract-num>
<contract-sponsor id="cn01">Agencia Nacional de Promoci&#x000F3;n Cient&#x000ED;fica y Tecnol&#x000F3;gica<named-content content-type="fundref-id">10.13039/501100003074</named-content></contract-sponsor>
<contract-sponsor id="cn02">Universidad de Buenos Aires<named-content content-type="fundref-id">10.13039/501100005363</named-content></contract-sponsor>
<counts>
<fig-count count="5"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="31"/>
<page-count count="10"/>
<word-count count="6147"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1" sec-type="introduction">
<title>Introduction</title>
<p>Brucellosis is a worldwide-distributed zoonotic disease caused by <italic>Brucella</italic> species that affects over 500,000 people annually (<xref ref-type="bibr" rid="B1">1</xref>). Most cases are caused by <italic>Brucella melitensis, Brucella suis</italic>, and <italic>Brucella abortus</italic>. The infection can be transmitted to humans by several ways, among which inhalation of infected aerosols is one of the most frequent. Several reports place airborne transmission as the cause of outbreaks of human brucellosis in bovine and porcine slaughterhouses, vaccine production laboratories, and rural areas (<xref ref-type="bibr" rid="B2">2</xref>&#x02013;<xref ref-type="bibr" rid="B5">5</xref>). Notably, aerosols have been implicated in most cases of laboratory-acquired brucellosis, which is considered the most common laboratory-acquired infection (<xref ref-type="bibr" rid="B6">6</xref>). Due to its easy aerosolization, high infectivity and airborne transmission, <italic>Brucella</italic> species are considered potential biological weapons (<xref ref-type="bibr" rid="B1">1</xref>) and are classified by the CDC and NIAID as category B bioterrorism agents.</p>
<p>Airborne <italic>Brucella</italic> infection rarely causes pulmonary clinical manifestations in infected humans. In case series in which inhalation of organisms was strongly suspected as the most probable source of infection, lung pathology was extremely rare (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>). These observations suggest that, in spite of the high infectivity of <italic>Brucella</italic> through inhalation, an inflammatory immune response against the pathogen is mild or nearly absent in the lungs. <italic>Brucella</italic> species use diverse mechanisms to evade innate immunity, some of which may contribute to a limited inflammatory response to the pathogen in the lungs. The ability of <italic>Brucella</italic> to impair TLR signaling may be particularly important in this regard (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>).</p>
<p>The innate immune response against <italic>Brucella</italic> is of great importance because it determines the course of the adaptive response (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>), which is key for the control of <italic>Brucella</italic> infection. A critical step for the initiation of the innate immune response is the detection of microbial PAMPs by TLR receptors. TLR9 has been shown to be required to eliminate <italic>B. abortus</italic> in infected mice (<xref ref-type="bibr" rid="B13">13</xref>). Similarly, mice deficient in MyD88 (the adaptor molecule for all TLRs except TLR3) are highly susceptible to <italic>Brucella</italic> infection (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>). Although TLR2 does not seem to be essential for <italic>Brucella</italic> control in infected mice (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B15">15</xref>), it has been extensively shown that signaling through TLR2 contributes to the production of proinflammatory cytokines by <italic>Brucella</italic>-infected phagocytic and non-phagocytic cells (<xref ref-type="bibr" rid="B16">16</xref>&#x02013;<xref ref-type="bibr" rid="B19">19</xref>). The role of TLR4 remains controversial. Whereas some studies show that TLR4 is required to control <italic>Brucella</italic> infection (<xref ref-type="bibr" rid="B15">15</xref>), others do not reveal such requirement in spite of the importance of this receptor for TNF-&#x003B1; production (<xref ref-type="bibr" rid="B11">11</xref>). Although the role of TLR5 in <italic>Brucella</italic> infections has not been explored <italic>in vivo</italic>, it has been shown that <italic>Brucella</italic> flagellin is not recognized by human TLR5 (<xref ref-type="bibr" rid="B20">20</xref>).</p>
<p>Notably, <italic>Brucella</italic> expresses two proteins that impair signaling through TLR2, TLR4, TLR5, and TLR9, named <italic>Brucella</italic> TIR-containing proteins (Btps) A and B (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>). Although these proteins have been shown to reduce cytokine secretion by cells infected with <italic>Brucella in vitro</italic>, a potential role of Btps in the ability of <italic>Brucella</italic> to survive in immunocompetent hosts has not been investigated.</p>
<p>A previous study reported that <italic>B. abortus</italic> can infect Balb/c mice through aerosols and can persist at high numbers in the lungs for several weeks, suggesting that an effective pulmonary immune response is not mounted in these hosts (<xref ref-type="bibr" rid="B21">21</xref>). In that study, <italic>Brucella</italic> CFU counts were determined on a weekly basis, but CFU kinetics and immune response within the first days of infection were not addressed. The aim of the present study was to characterize the innate immune response in the lungs of mice, and the bacterial dissemination to peripheral organs, during the first days after intratracheal infection with <italic>B. abortus</italic>. A potential role of Btps in the modulation of the lung immune response to the infection and to the stimulation with TLR agonists was also investigated.</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S2-1">
<title>Animals</title>
<p>Male 7- to 8-week-old Balb/c mice were used in all experiments. The animals were housed in BSL3 facilities (IIB-INTECH-UNSAM, Buenos Aires, Argentina). Animals were housed in groups of five animals, under controlled temperature (22&#x02009;&#x000B1;&#x02009;2&#x000B0;C) and artificial light under a 12-h cycle period. All experimental protocols of this study were conducted in agreement with international ethical standards for animal experimentation (Helsinki Declaration and its amendments, Amsterdam Protocol of welfare and animal protection, and National Institutes of Health, USA, guidelines: Guide for the Care and Use of Laboratory Animals). The protocols of this study were approved by the Institutional Committee for the Care and Use of Experimentation Animals from the University of San Martin (UNSAM).</p>
</sec>
<sec id="S2-2">
<title>Bacterial Strains and Growth Conditions</title>
<p><italic>Brucella abortus</italic> 2308 (wild-type strain, WT) and its isogenic <italic>B. abortus btpAbtpB</italic> double mutant (<xref ref-type="bibr" rid="B9">9</xref>) were grown in tryptic soy broth at 37&#x000B0;C with agitation until reaching an approximate OD<sub>600</sub> of 1.0. Bacteria were washed twice with sterile phosphate-buffered saline (PBS), and inocula were prepared in sterile PBS on the basis of the optical density readings, but the actual concentration was later checked by plating on tryptic soy agar (TSA). All live <italic>Brucella</italic> manipulations were performed in biosafety level 3 facilities.</p>
</sec>
<sec id="S2-3">
<title>Intratracheal Inoculation</title>
<p>Animals were inoculated intratracheally with <italic>B. abortus</italic> WT or <italic>B. abortus btpAbtpB</italic> mutant as previously described (<xref ref-type="bibr" rid="B22">22</xref>) with minor modifications. Briefly, animals were anesthetized with isoflurane, and after becoming recumbent, were injected intraperitoneally with a mixture of ketamine and xylazine (100 and 8&#x02009;mg/kg). Mice were placed in supine position over an acrylic backboard and restrained by the teeth using a rubber band. Under translucent illumination of the trachea, the inoculum was injected in a final volume of 20&#x02009;&#x000B5;l in between the vocal cords with a Hamilton syringe coupled to a blunt-ended probe, to deliver 10<sup>6</sup>&#x02009;CFU per mice. Control mice received 20&#x02009;&#x000B5;l of PBS following the same procedure.</p>
</sec>
<sec id="S2-4">
<title>CFU and Cytokine Analysis</title>
<p>At different time points post-infection (p.i.), mice were euthanized by an intraperitoneal injection of a lethal dose of ketamine and xylazine, and their lungs, liver, and spleens were harvested. The whole organs were homogenized in 2&#x02009;ml sterile PBS, and serial dilutions of homogenate aliquots were plated on TSA for CFU counting. The remaining homogenate volumes were centrifuged for 15&#x02009;min, and the supernatants were mixed with protease inhibitors (cOmplete&#x02122;, Roche) and stored at &#x02212;70&#x000B0;C for cytokine and chemokine determination by commercial ELISA kits (R&#x00026;D), according to the manufacturer&#x02019;s instructions.</p>
</sec>
<sec id="S2-5">
<title>Bronchoalveolar Lavage Fluid (BALF)</title>
<p>Mice were euthanized, their tracheas were cannulated, and the airways were perfused several times with 0.7&#x02009;ml of sterile cold PBS containing 1&#x02009;mM EDTA to provide 4&#x02009;ml of BALF. BALF samples were centrifuged at 400&#x02009;&#x000D7;&#x02009;<italic>g</italic> for 10&#x02009;min at 4&#x000B0;C and supernatants were stored at &#x02212;70&#x000B0;C for cytokine measurements as described above.</p>
</sec>
<sec id="S2-6">
<title>Histological Examination</title>
<p>At 2 and 7&#x02009;days p.i., lungs were harvested and fixed in 4% paraformaldehyde for 24&#x02009;h, then embedded in paraffin and cut in 5-&#x000B5;m sections. The samples were stained with hematoxylin and eosin and blindly analyzed by a pathologist. Tissue damage was graded using a previously described scoring system (<xref ref-type="bibr" rid="B23">23</xref>), as follows: 0 (normal&#x02009;&#x0003D;&#x02009;no inflammation), 1 (minimal&#x02009;&#x0003D;&#x02009;perivascular, peribronchial, or patchy interstitial inflammation involving less than 10% of lung volume), 2 (mild&#x02009;&#x0003D;&#x02009;perivascular, peribronchial, or patchy interstitial inflammation involving 10&#x02013;20% of lung volume), 3 (moderate&#x02009;&#x0003D;&#x02009;perivascular, peribronchial, patchy interstitial, or diffuse inflammation involving 20&#x02013;50% of lung volume), and 4 (severe&#x02009;&#x0003D;&#x02009;diffuse inflammation involving more than 50% of lung volume).</p>
</sec>
<sec id="S2-7">
<title>Inhibition of LPS-Induced Airway Inflammation</title>
<p>Mice were intratracheally inoculated with PBS or with 10<sup>6</sup>&#x02009;CFU/mouse of either <italic>B. abortus</italic> WT or <italic>B. abortus btpAbtpB</italic> mutant as described above, and 24&#x02009;h later were intratracheally inoculated with 5&#x02009;&#x000B5;g of <italic>E. coli</italic> LPS (Sigma-Aldrich). Lungs were harvested 24&#x02009;h later, fixed in paraformaldehyde 4%, and subjected to histological analysis as described above.</p>
</sec>
<sec id="S2-8">
<title>Pulmonary Innate Immune Response Stimulation</title>
<p>Mice were intratracheally inoculated with 5&#x02009;&#x000B5;g of <italic>E. coli</italic> LPS and 24&#x02009;h later were intratracheally inoculated with PBS or with 10<sup>6</sup>&#x02009;CFU of either <italic>B. abortus</italic> WT or <italic>B. abortus btpAbtpB</italic> mutant. Lungs were harvested 24&#x02009;h later, homogenized, and analyzed for cytokines and CFU counts.</p>
</sec>
<sec id="S2-9">
<title>Statistical Analysis</title>
<p>Statistical comparisons for significant differences were performed with the ANOVA test followed by Tukey&#x02019;s test or Dunnett&#x02019;s test using GraphPad 5.0 software. Normality was assessed by the D&#x02019;Agostino&#x02013;Pearson test. Data are means&#x02009;&#x000B1;&#x02009;SEM from at least three independent experiments. A <italic>p</italic> value &#x0003C;0.05 was considered as statistically significant.</p>
</sec>
</sec>
<sec id="S3">
<title>Results</title>
<sec id="S3-1">
<title>Kinetics of <italic>Brucella</italic> Infection in Lungs and Dissemination to Peripheral Organs</title>
<p>Mice were intratracheally infected with <italic>B. abortus</italic> WT, and CFU numbers were determined in lung, liver, and spleen homogenates at different times within the first week p.i. As shown in Figure <xref ref-type="fig" rid="F1">1</xref>, the pulmonary bacterial burden diminished non-significantly during the first days p.i. but then rapidly reached values similar to the initial inoculum. <italic>Brucella</italic> could disseminate from the initial infection site and was recovered as early as 1&#x02009;day p.i. from spleen and liver. The bacterial load in liver and spleen tended to increase at 7&#x02009;days (168&#x02009;h) p.i. as compared to previous days, although the difference did not reach statistical significance probably due to data dispersion (Dunnett&#x02019;s test versus 24&#x02009;h p.i.).</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p><italic>Brucella abortus</italic> persists in lungs but disseminates to peripheral organs in the first week after intratracheal infection. Mice were infected with 10<sup>6</sup>&#x02009;CFU/mouse of <italic>B. abortus</italic> WT, and CFU numbers were determined in lung, liver, and spleen homogenates at different times post-infection (p.i.) (<italic>n</italic>&#x02009;&#x0003D;&#x02009;5&#x02013;8 per time point).</p></caption>
<graphic xlink:href="fimmu-08-01011-g001.tif"/>
</fig>
</sec>
<sec id="S3-2">
<title><italic>B. abortus</italic> Induces a Mild Inflammatory Response in Murine Lungs</title>
<p>To assess the early pulmonary cytokine response induced by the intratracheal infection with <italic>B. abortus</italic> WT, levels of IL-1&#x003B2;, TNF-&#x003B1;, IFN-&#x003B3;, IL-12, MCP-1, and KC were measured in lung homogenates from infected mice. A significant increase in IL-1&#x003B2; and MCP-1 concentration was found at 3&#x02009;days p.i. as compared to non-infected mice, whereas a significant increase in IL-12, KC, TNF-&#x003B1;, and IFN-&#x003B3; was detected only at 7&#x02009;days p.i. (Figure <xref ref-type="fig" rid="F2">2</xref>A). Due to sample volume limitations, only TNF-&#x003B1; and IL-1&#x003B2; could be determined in BALF. Both cytokines tended to be higher in BALF from infected mice than in control mice, but differences did not reach significant differences (Figure <xref ref-type="fig" rid="F2">2</xref>B). Overall, these results suggest a delayed cytokine response to <italic>B. abortus</italic> in the lungs of mice infected through the intratracheal route.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p><italic>Brucella abortus</italic> induces a delayed and mild inflammatory response. Mice (<italic>n</italic>&#x02009;&#x0003D;&#x02009;5) were infected intratracheally with 10<sup>6</sup>&#x02009;CFU of <italic>B. abortus</italic> (gray bars) and cytokines were measured at different times post-infection (p.i.) in lung homogenates <bold>(A)</bold> and bronchoalveolar lavage fluid (BALF) <bold>(B)</bold>. Controls inoculated with phosphate-buffered saline through the same route (white bars) were assessed in parallel. Differences between groups were analyzed by ANOVA followed by Tukey&#x02019;s test (&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.05, &#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.01). Histological changes in lungs were assessed in infected and control mice at 2 and 7&#x02009;days post-inoculation <bold>(C)</bold>. Magnification, &#x000D7;20. Bar&#x02009;&#x0003D;&#x02009;50&#x02009;&#x000B5;m.</p></caption>
<graphic xlink:href="fimmu-08-01011-g002.tif"/>
</fig>
<p>Cellular infiltrates are commonly found in lungs as components of the innate immune response to infection by inhaled pathogens. Therefore, we assessed histological changes in lungs of mice infected with <italic>B. abortus</italic> WT, as compared to non-infected controls. As shown in Figure <xref ref-type="fig" rid="F2">2</xref>C, at 2&#x02009;days p.i., no peribronchial or perivascular infiltrates were present in infected mice, and only a mild and focalized lymphocytic interstitial infiltrate and a few points of hematic extravasation were noticed. The interstitial infiltrate was milder at day 7 p.i., and some hematic extravasation foci were also observed.</p>
</sec>
<sec id="S3-3">
<title><italic>Brucella</italic> Actively Suppresses TLR4-Mediated Lung Inflammation</title>
<p>The limited inflammatory response elicited by <italic>B. abortus</italic> in the lungs of infected mice may be due to some of the immune evasion mechanisms of <italic>Brucella</italic>, such as the secretion of proteins that interfere with TLR signaling thus downmodulating cytokine production (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B25">25</xref>). Therefore, experiments were conducted to evaluate if <italic>B. abortus</italic> was capable to actively suppress lung inflammation caused by <italic>E. coli</italic> LPS, a potent TLR4 agonist. Mice were infected intratracheally with <italic>B. abortus</italic>, or administered with PBS as a control, and 24&#x02009;h later received <italic>E. coli</italic> LPS by the intratracheal route. The following day mice were euthanized, and their lungs were harvested for cytokine measurement and histological examination.</p>
<p>As shown in Figure <xref ref-type="fig" rid="F3">3</xref>A (left panel), LPS inoculation to mice previously administered with PBS (PBS/LPS group) causes lung inflammation, as expected for a TLR4 agonist. Lungs exhibited vascular congestion, edema, and focal points of hematic extravasation in the alveoli, along with an important infiltrate of polymorphonuclear cells. This inflammatory reaction was markedly abolished in mice preinfected with <italic>B. abortus</italic> WT (WT/LPS) as only mild vascular congestion and edema were observed (Figure <xref ref-type="fig" rid="F3">3</xref>A, middle panel). As shown in Figure <xref ref-type="fig" rid="F3">3</xref>B, the inflammatory score found in lungs from the WT/LPS group was significantly lower than that found in the PBS/LPS group. These results show that <italic>B. abortus</italic> modulates the pulmonary innate immune response to a TLR4 agonist.</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p><italic>Brucella</italic> preinfection suppresses TLR4-mediated lung inflammation. Mice (<italic>n</italic>&#x02009;&#x0003D;&#x02009;5) were infected intratracheally with 10<sup>6</sup>&#x02009;CFU of <italic>Brucella abortus</italic> 2308 (WT) or a double mutant for BtpA and BtpB proteins (<italic>btpAbptB</italic>), or were inoculated with phosphate-buffered saline (PBS) as a control, and 24&#x02009;h later received <italic>E. coli</italic> LPS by the intratracheal route. The next day mice were euthanized and their lungs were harvested for histological examination <bold>(A,B)</bold> and for preparing homogenates for cytokine measurement <bold>(C)</bold>. <bold>(B)</bold> &#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.001, &#x0002A;&#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.001, Tukey&#x02019;s multiple comparison test; <bold>(C)</bold> &#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.05, &#x0002A;&#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.001 vs. the PBS/LPS group. Magnification, &#x000D7;20. Bar&#x02009;&#x0003D;&#x02009;50&#x02009;&#x000B5;m.</p></caption>
<graphic xlink:href="fimmu-08-01011-g003.tif"/>
</fig>
<p>As part of the wide repertoire of <italic>Brucella</italic> immune evading effectors, two proteins have been described, namely, <italic>Brucella</italic> TIR-containing proteins A (BtpA) and B (BtpB), which interfere with TLR signaling and innate immune responses (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>). To test whether these proteins are involved in the modulation of LPS-mediated inflammation, mice were intratracheally infected with a <italic>B. abortus</italic> double mutant for the Btp proteins (<italic>B. abortus btpAbtpB</italic>), and 24&#x02009;h later were inoculated with <italic>E. coli</italic> LPS through the same route.</p>
<p>As compared to the lungs of mice preinfected with the WT strain (WT/LPS), those of mice infected with the double mutant (<italic>btpAbtpB</italic>/LPS) exhibited an important polymorphonuclear infiltrate and some hematic extravasation focal points (Figure <xref ref-type="fig" rid="F3">3</xref>A, right panel). Nevertheless, the polymorphonuclear infiltrate of the <italic>btpAbtpB</italic>/LPS group was still milder than that of the PBS/LPS group. Lungs from both WT/LPS and <italic>btpAbtpB</italic>/LPS groups had less vasocongestion than those from the PBS/LPS group. As shown in Figure <xref ref-type="fig" rid="F3">3</xref>B, the inflammatory score found in lungs from the <italic>btpAbtpB</italic>/LPS group was significantly higher than that found in the WT/LPS group, but lower than that in the PBS/LPS group. Altogether, these results indicate that the immunosuppression observed in mice from WT/LPS group is partly due to the Btp proteins of <italic>Brucella</italic>.</p>
<p>The modulatory effect of Btp proteins in this model was also evidenced at the cytokine level (Figure <xref ref-type="fig" rid="F3">3</xref>C). The levels of IFN-&#x003B3; in lung homogenates were significantly lower in mice from the WT/LPS group than in those from the <italic>btpAbtpB</italic>/LPS group, and a similar tendency was observed for IL-1&#x003B2;, KC, and MCP-1 levels. In agreement with the reduced inflammatory infiltrate in the WT/LPS group versus the PBS/LPS group, levels of the KC and MCP-1 chemokines tended to be lower in the first group.</p>
</sec>
<sec id="S3-4">
<title>Btp Proteins Modulate the Lung Inflammatory Response to <italic>B. abortus</italic></title>
<p>The role of Btp proteins in the course of a <italic>Brucella</italic> infection acquired through a natural route is still unknown. We hypothesized that Btp proteins could contribute to modulate the innate response in lungs during a respiratory infection with <italic>Brucella</italic>. To test this hypothesis, we evaluated the pulmonary histology and cytokine response of mice infected intratracheally with either <italic>B. abortus</italic> WT or the <italic>B. abortus btpAbtpB</italic> mutant. The cytokine analysis revealed no significant differences in proinflammatory cytokines (IL-1&#x003B2;, IFN-&#x003B3;, IL-12, and TNF-&#x003B1;) and chemokines (KC and MCP-1) at 2&#x02009;days p.i. However, at day 7 p.i., there was a significant increase of IL-12, KC, and MCP-1 in <italic>btpAbtpB</italic>-infected lungs when compared with WT-infected lungs (Figure <xref ref-type="fig" rid="F4">4</xref>A), and a similar but non-significant tendency was observed for IL-1&#x003B2; and IFN-&#x003B3;. Lungs from <italic>btpAbtpB<sup>&#x02212;</sup></italic> infected mice presented a higher level of inflammatory infiltrate than those from WT-infected mice at both 2&#x02009;days p.i. (Figures <xref ref-type="fig" rid="F4">4</xref>B,C) and 7&#x02009;days p.i. (not shown). Despite this stronger proinflammatory profile in lungs of mice infected with the Btp mutant, no significant differences in CFU counts were observed in comparison with WT infection at 2 or 7&#x02009;days p.i. (Figure <xref ref-type="fig" rid="F4">4</xref>D).</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p>Btp proteins modulate the lung inflammatory response to <italic>Brucella abortus</italic>. Mice (<italic>n</italic>&#x02009;&#x0003D;&#x02009;5) were infected intratracheally with 10<sup>6</sup>&#x02009;CFU of either <italic>B. abortus</italic> WT or <italic>B. abortus btpAbtpB</italic> mutant, or received phosphate-buffered saline (PBS) through the same route as a control. At 2 and 7&#x02009;days post-infection (p.i.), animals were sacrificed and their lungs were obtained to evaluate cytokine response <bold>(A)</bold>, histology <bold>(B,C)</bold>, and colony-forming units <bold>(D)</bold>. &#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.05, &#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.01, &#x0002A;&#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.001 versus NI. Magnification, &#x000D7;20. Bar&#x02009;&#x0003D;&#x02009;50&#x02009;&#x000B5;m.</p></caption>
<graphic xlink:href="fimmu-08-01011-g004.tif"/>
</fig>
</sec>
<sec id="S3-5">
<title>Btp Proteins Protect <italic>B. abortus</italic> from TLR4-Induced Lung Inflammation</title>
<p>As shown above, despite the increased levels of cytokines and the increased inflammatory infiltrate in the lungs of <italic>btpAbtpB</italic>-infected mice as compared to WT-infected controls, CFU counts of the mutant did not change during the first week of infection. This suggests that the defensive mechanisms mounted during the first stages of infection are not enough to reduce the pulmonary load of <italic>Brucella</italic>, even if the bacterium is devoid of Btp proteins. To test whether a stronger pulmonary innate immune response could reduce the number of <italic>Brucella</italic> CFU in lungs, mice were administered with an intratracheal dose of <italic>E. coli</italic> LPS (5&#x02009;&#x003BC;g/mouse) and 1&#x02009;day post-administration were inoculated through the same route with PBS, <italic>B. abortus</italic> WT, or <italic>B. abortus btpAbtpB</italic>. The day after infection, lungs of the different groups were collected and analyzed for cytokines and CFU. At 24&#x02009;h p.i. (48&#x02009;h after LPS treatment), the pulmonary levels of several proinflammatory cytokines (IL-1&#x003B2;, IL-12, MCP-1, and KC) were significantly higher in the LPS/<italic>btpAbtpB</italic> group than in the LPS/WT group, suggesting that Btp proteins modulate the proinflammatory response elicited by the LPS pretreatment (Figure <xref ref-type="fig" rid="F5">5</xref>B). At this time point, the cytokine response to WT infection did not differ significantly between PBS- and LPS-pretreated mice, except for IFN-&#x003B3; which was significantly increased in LPS-pretreated animals. By contrast, among animals infected with the <italic>btpAbtpB</italic> mutant, the levels of all cytokines, except for TNF-&#x003B1;, were significantly higher in LPS-conditioned lungs than in those pretreated with PBS. As shown in Figure <xref ref-type="fig" rid="F5">5</xref>A, there was no significant difference in CFU counts between lungs from WT<italic>-</italic>infected mice previously treated with either LPS or PBS. Among mice infected with the <italic>btpAbtpB</italic> mutant, by contrast, CFU numbers were significantly reduced in LPS-conditioned lungs as compared to those pretreated with PBS. Globally, these results suggest that Btp proteins play a role in <italic>Brucella</italic> survival within a strong inflammatory environment.</p>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p>Btp proteins protect <italic>Brucella abortus</italic> from TLR4-induced lung inflammation. Mice (<italic>n</italic>&#x02009;&#x0003D;&#x02009;5) were administered with an intratracheal dose of <italic>E. coli</italic> LPS (5&#x02009;&#x003BC;g/mouse) and one day post-administration were inoculated with phosphate-buffered saline (PBS), <italic>B. abortus</italic> WT or <italic>B. abortus btpAbtpB</italic> mutant. The day after infection, lungs of the different groups were collected and analyzed for CFU <bold>(A)</bold> and cytokines <bold>(B)</bold> (&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.05, &#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.01, &#x0002A;&#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.001).</p></caption>
<graphic xlink:href="fimmu-08-01011-g005.tif"/>
</fig>
</sec>
</sec>
<sec id="S4" sec-type="discussion">
<title>Discussion</title>
<p>The airborne route of infection has been widely shown to be epidemiologically important in human and animal brucellosis. After entry through inhalation, bacteria of the <italic>Brucella</italic> genus can disseminate from the lungs to the rest of the organism. However, pulmonary manifestations have been only exceptionally reported in patients who acquired <italic>Brucella</italic> infection through inhalation of contaminated aerosols (<xref ref-type="bibr" rid="B4">4</xref>). This should not be confused with cases of pulmonary brucellosis (including pneumonia and pleural effusion), which have been described in some series on human brucellosis. In these series, consumption of unpasteurized dairy products was the most common source of infection, strongly suggesting that <italic>Brucella</italic> had reached the lungs through hematogenous dissemination (<xref ref-type="bibr" rid="B26">26</xref>&#x02013;<xref ref-type="bibr" rid="B28">28</xref>). The scarcity of pulmonary manifestations in patients with airborne-acquired brucellosis suggests that, in spite of the high infectivity of <italic>Brucella</italic> through inhalation, an inflammatory immune response against the pathogen is mild or nearly absent in the lungs.</p>
<p>In this study, we demonstrated that <italic>B. abortus</italic> intratracheal infection produces a mild proinflammatory response in lungs of infected Balb/C mice partly due to immune modulation. The cytokine response and the histological analysis in lungs showed minimal alterations in infected animals, and such changes started as late as 3&#x02009;days p.i. This lack of vigorous inflammatory response may partially explain the steady CFU counts of <italic>B. abortus</italic> in murine lungs during the 1-week follow-up of the present study. Notably, a longer bacteriological follow-up after infection with aerosolized <italic>B. abortus</italic> found steady pulmonary CFU counts for up to 8&#x02009;weeks p.i (<xref ref-type="bibr" rid="B21">21</xref>). In line with our findings, a recent study on intranasal infection with <italic>B. melitensis</italic> in mice also reported invariable levels of CFU during the first 12&#x02009;days p.i (<xref ref-type="bibr" rid="B29">29</xref>). Although the later study used a different <italic>Brucella</italic> species and a different delivery method as compared to our study, it also revealed a lack of significant inflammatory response in the lungs of infected mice. However, the mechanisms underlying this lack of inflammation were not explored.</p>
<p>The limited inflammatory response elicited by <italic>B. abortus</italic> in the lungs of infected mice may be due to some of the immune evasion mechanisms of <italic>Brucella</italic>, which include poor immunostimulating antigens and active suppression mechanisms (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B29">29</xref>). Among the latter, the action of Btp proteins, which contain TIR motifs that interact with TIR-containing components of the TLR signaling cascade, is especially remarkable (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B25">25</xref>). Btp proteins have been shown to downmodulate the secretion of proinflammatory cytokines by <italic>Brucella</italic>-infected dendritic cells, and to reduce the formation of splenic granulomas in infected mice. Therefore, the interference with TLR signaling through the action of Btp proteins was considered a plausible mechanism for the mild inflammatory response to <italic>B. abortus</italic> in our model. Experiments were conducted to evaluate if <italic>B. abortus</italic> was capable of actively suppressing lung inflammation caused by <italic>E. coli</italic> LPS, a potent TLR4 agonist. <italic>B. abortus</italic> preinfection not only inhibited the LPS-induced recruitment of phagocytes to the lungs but also reduced the pulmonary production of some proinflammatory cytokines in response to LPS. Notably, when mice were preinfected with the <italic>B. abortus btpAbtpB</italic> double mutant, this inhibitory effect on LPS-induced inflammation was partially lost, as revealed by histology analysis and KC measurement. This suggests that Btps are partially responsible for the inhibitory effect, although additional immune evasion mechanisms may be also involved in the ability of <italic>B. abortus</italic> to inhibit LPS-induced pulmonary inflammation. The btpAbtpB/LPS group presented less inflammatory infiltrate than the PBS/LPS group in spite of higher levels of IL-1&#x003B2; and IFN-&#x003B3;. The reduced inflammatory infiltrate may not be due to differences in the chemokines measured (MCP-1 and KC), which were similar in both groups, suggesting that other cytokines not measured in the present study may be involved.</p>
<p>Btp proteins also seemed to exert immunomodulation in the context of pulmonary <italic>B. abortus</italic> infection, as a greater degree of lung inflammation was detected in mice intratracheally infected with the <italic>btpAbtpB</italic> mutant than in those infected with the WT strain. However, this increased inflammation did not translate into an enhanced infection control, as there were no differences at 2 or 7&#x02009;days p.i. in the pulmonary CFU counts of the mutant as compared to the WT strain. These findings suggest that, regardless of the expression of Btp proteins, the immune response mounted in the lung during the first stages of infection is not enough to reduce the pulmonary load of <italic>Brucella</italic>. In line with these findings, a recent study has also suggested that the pulmonary inflammatory response is irrelevant for the early control of <italic>B. melitensis</italic> after intranasal infection, as pulmonary CFU counts did not differ between wild-type mice and those deficient for IL-1R, IL-6, TNF-&#x003B1;, or CCR2 (<xref ref-type="bibr" rid="B29">29</xref>).</p>
<p>Experiments were carried out in the present study to test whether a stronger innate immune response in the lungs could reduce the pulmonary CFU counts of <italic>Brucella</italic>, and whether Btps may have a role in <italic>Brucella</italic> survival in this enhanced inflammatory environment. For this, mice were intratracheally inoculated with <italic>E. coli</italic> LPS before infection with <italic>B. abortus</italic> WT or <italic>B. abortus btpAbtpB</italic>. The pulmonary levels of several proinflammatory cytokines were significantly higher in mice of the LPS/<italic>btpAbtpB</italic> group than in those from the LPS/WT group, suggesting that Btp proteins modulate the proinflammatory response elicited by the LPS pretreatment. Whereas LPS pretreatment did not modify the survival of <italic>B. abortus</italic> WT, it reduced the survival of the <italic>btpAbtpB</italic> mutant. The overall results suggest that the expression of Btp proteins does not confer a survival advantage to <italic>B. abortus</italic> in the context of the weak inflammatory environment elicited in the lungs by the infection with this pathogen, but may confer such advantage within a stronger inflammatory environment. Further studies will be required to address this question in different models of <italic>Brucella</italic> infection <italic>in vivo</italic>. To our best knowledge, this is the first study to address the role of Btp proteins in mice infected through a natural route for <italic>Brucella</italic> species, as previous studies used intraperitoneal infection (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B30">30</xref>).</p>
<p>Overall, this study revealed a weak proinflammatory response to inhaled <italic>B. abortus</italic> in murine lungs. In addition, the cytokine response started to differentiate from the control group as late as 3&#x02009;days p.i., 2&#x02009;days after <italic>Brucella</italic> was first detected in peripheral organs. This means that <italic>Brucella</italic> can disseminate systemically before an inflammatory response is achieved in the lungs. In the present study, <italic>B. abortus</italic> was found in spleen and liver as early as 1&#x02009;day after intratracheal infection. These findings are in line with those of Archambaud et al., who found the bacterium in mediastinal lymph nodes as soon as 1.5&#x02009;days after intranasal infection (<xref ref-type="bibr" rid="B31">31</xref>). According to that report, the bacterium seems to be transported out of the lungs by alveolar macrophages and, a bit later, by dendritic cells. The present study also suggests that the pulmonary inflammatory response mounted at later time points has only a limited impact on <italic>B. abortus</italic> survival in the lungs, as CFU counts at 7&#x02009;days p.i. did not decline as compared to the initial inoculum. The limited antimicrobial action of the pulmonary innate immunity against <italic>Brucella</italic> infection may also contribute to the efficiency of this pathogen for producing systemic disease after inhalation, as the persistent pulmonary bacterial pool may constitute a continuous source for dissemination to peripheral organs.</p>
<p>In summary, this study shows that <italic>B. abortus</italic> induces only a weak inflammatory response in lungs after intratracheal infection. Whereas the lack of a stronger inflammation is explained in part by the modulating effect of Btp proteins on TLR-mediated responses, the increased inflammatory response elicited in the absence of this modulation is still insufficient for controlling <italic>B. abortus</italic> infection in the lungs. The limited antimicrobial action of the pulmonary innate immunity against <italic>Brucella</italic> infection may contribute to the efficiency of this pathogen to produce systemic disease after inhalation.</p>
</sec>
<sec id="S5">
<title>Ethics Statement</title>
<p>All experimental protocols of this study were conducted in agreement with international ethical standards for animal experimentation (Helsinki Declaration and its amendments, Amsterdam Protocol of welfare and animal protection, and National Institutes of Health, USA, guidelines: Guide for the Care and Use of Laboratory Animals). The protocols of this study were approved by the Institutional Committee for the Care and Use of Experimentation Animals from the University of San Martin (UNSAM).</p>
</sec>
<sec id="S6" sec-type="author-contributor">
<title>Author Contributions</title>
<p>Conceived and designed the experiments: MH, MF, and PB. Performed the experiments: MH, MF, AF, and JF. Analyzed the data: MH, MF, AF, JF, SV, DC, and PB. Wrote the draft and/or final version paper: MH, MF, and PB.</p>
</sec>
<sec id="S7">
<title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<ack>
<p>The authors are deeply grateful to the staff of the UOCCB, ANLIS-Malbr&#x000E1;n, Buenos Aires, for expert technical assistance with BSL3 and BSL3-A use. MF, PB, and DC are members of the Research Career of CONICET.</p>
</ack>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> This study was supported by grants PICT 2013-0170, PICT 2014-3359, and PICT-CABBIO 2014-0601 from Agencia Nacional de Promoci&#x000F3;n Cient&#x000ED;fica y Tecnol&#x000F3;gica, grant UBACYT 20020130100151BA from Universidad de Buenos Aires, and an Infectious Diseases Grant from Fundaci&#x000F3;n Bunge y Born.</p></fn>
</fn-group>
<ref-list>
<title>References</title>
<ref id="B1"><label>1</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pappas</surname> <given-names>G</given-names></name> <name><surname>Panagopoulou</surname> <given-names>P</given-names></name> <name><surname>Christou</surname> <given-names>L</given-names></name> <name><surname>Akritidis</surname> <given-names>N</given-names></name></person-group>. <article-title><italic>Brucella</italic> as a biological weapon</article-title>. <source>Cell Mol Life Sci</source> (<year>2006</year>) <volume>63</volume>:<fpage>2229</fpage>&#x02013;<lpage>36</lpage>.<pub-id pub-id-type="doi">10.1007/s00018-006-6311-4</pub-id><pub-id pub-id-type="pmid">16964579</pub-id></citation></ref>
<ref id="B2"><label>2</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kaufmann</surname> <given-names>AF</given-names></name> <name><surname>Fox</surname> <given-names>MD</given-names></name> <name><surname>Boyce</surname> <given-names>JM</given-names></name> <name><surname>Anderson</surname> <given-names>DC</given-names></name> <name><surname>Potter</surname> <given-names>ME</given-names></name> <name><surname>Martone</surname> <given-names>WJ</given-names></name> <etal/></person-group> <article-title>Airborne spread of brucellosis</article-title>. <source>Ann N Y Acad Sci</source> (<year>1980</year>) <volume>353</volume>:<fpage>105</fpage>&#x02013;<lpage>14</lpage>.<pub-id pub-id-type="doi">10.1111/j.1749-6632.1980.tb18912.x</pub-id><pub-id pub-id-type="pmid">6939379</pub-id></citation></ref>
<ref id="B3"><label>3</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hendricks</surname> <given-names>SL</given-names></name> <name><surname>Borts</surname> <given-names>IH</given-names></name> <name><surname>Heeren</surname> <given-names>RH</given-names></name> <name><surname>Hausler</surname> <given-names>WJ</given-names></name> <name><surname>Held</surname> <given-names>JR</given-names></name></person-group>. <article-title>Brucellosis outbreak in an Iowa packing house</article-title>. <source>Am J Public Health Nations Health</source> (<year>1962</year>) <volume>52</volume>:<fpage>1166</fpage>&#x02013;<lpage>78</lpage>.<pub-id pub-id-type="doi">10.2105/AJPH.52.7.1166</pub-id></citation></ref>
<ref id="B4"><label>4</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Staszkiewicz</surname> <given-names>J</given-names></name> <name><surname>Lewis</surname> <given-names>CM</given-names></name> <name><surname>Colville</surname> <given-names>J</given-names></name> <name><surname>Zervos</surname> <given-names>M</given-names></name> <name><surname>Band</surname> <given-names>J</given-names></name></person-group>. <article-title>Outbreak of <italic>Brucella melitensis</italic> among microbiology laboratory workers in a community hospital</article-title>. <source>J Clin Microbiol</source> (<year>1991</year>) <volume>29</volume>:<fpage>287</fpage>&#x02013;<lpage>90</lpage>.</citation></ref>
<ref id="B5"><label>5</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wallach</surname> <given-names>JC</given-names></name> <name><surname>Samartino</surname> <given-names>LE</given-names></name> <name><surname>Efron</surname> <given-names>A</given-names></name> <name><surname>Baldi</surname> <given-names>PC</given-names></name></person-group>. <article-title>Human infection by <italic>Brucella melitensis</italic>: an outbreak attributed to contact with infected goats</article-title>. <source>FEMS Immunol Med Microbiol</source> (<year>1997</year>) <volume>19</volume>:<fpage>315</fpage>&#x02013;<lpage>21</lpage>.<pub-id pub-id-type="doi">10.1016/S0928-8244(97)00098-9</pub-id><pub-id pub-id-type="pmid">9537757</pub-id></citation></ref>
<ref id="B6"><label>6</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yagupsky</surname> <given-names>P</given-names></name> <name><surname>Baron</surname> <given-names>EJ</given-names></name></person-group>. <article-title>Laboratory exposures to brucellae and implications for bioterrorism</article-title>. <source>Emerg Infect Dis</source> (<year>2005</year>) <volume>11</volume>:<fpage>1180</fpage>&#x02013;<lpage>5</lpage>.<pub-id pub-id-type="doi">10.3201/eid1108.041197</pub-id><pub-id pub-id-type="pmid">16102304</pub-id></citation></ref>
<ref id="B7"><label>7</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Trever</surname> <given-names>RW</given-names></name> <name><surname>Cluff</surname> <given-names>LE</given-names></name> <name><surname>Peeler</surname> <given-names>RN</given-names></name> <name><surname>Bennett</surname> <given-names>IL</given-names></name></person-group>. <article-title>Brucellosis. I. Laboratory-acquired acute infection</article-title>. <source>AMA Arch Intern Med</source> (<year>1959</year>) <volume>103</volume>:<fpage>381</fpage>&#x02013;<lpage>97</lpage>.<pub-id pub-id-type="doi">10.1001/archinte.1959.00270030037004</pub-id></citation></ref>
<ref id="B8"><label>8</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Traxler</surname> <given-names>RM</given-names></name> <name><surname>Guerra</surname> <given-names>MA</given-names></name> <name><surname>Morrow</surname> <given-names>MG</given-names></name> <name><surname>Haupt</surname> <given-names>T</given-names></name> <name><surname>Morrison</surname> <given-names>J</given-names></name> <name><surname>Saah</surname> <given-names>JR</given-names></name> <etal/></person-group> <article-title>Review of brucellosis cases from laboratory exposures in the United States in 2008 to 2011 and improved strategies for disease prevention</article-title>. <source>J Clin Microbiol</source> (<year>2013</year>) <volume>51</volume>:<fpage>3132</fpage>&#x02013;<lpage>6</lpage>.<pub-id pub-id-type="doi">10.1128/JCM.00813-13</pub-id><pub-id pub-id-type="pmid">23824776</pub-id></citation></ref>
<ref id="B9"><label>9</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Salcedo</surname> <given-names>SP</given-names></name> <name><surname>Marchesini</surname> <given-names>MI</given-names></name> <name><surname>Degos</surname> <given-names>C</given-names></name> <name><surname>Terwagne</surname> <given-names>M</given-names></name> <name><surname>Von Bargen</surname> <given-names>K</given-names></name> <name><surname>Lepidi</surname> <given-names>H</given-names></name> <etal/></person-group> <article-title>BtpB, a novel <italic>Brucella</italic> TIR-containing effector protein with immune modulatory functions</article-title>. <source>Front Cell Infect Microbiol</source> (<year>2013</year>) <volume>3</volume>:<fpage>28</fpage>.<pub-id pub-id-type="doi">10.3389/fcimb.2013.00028</pub-id><pub-id pub-id-type="pmid">23847770</pub-id></citation></ref>
<ref id="B10"><label>10</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Salcedo</surname> <given-names>SP</given-names></name> <name><surname>Marchesini</surname> <given-names>MI</given-names></name> <name><surname>Lelouard</surname> <given-names>H</given-names></name> <name><surname>Fugier</surname> <given-names>E</given-names></name> <name><surname>Jolly</surname> <given-names>G</given-names></name> <name><surname>Balor</surname> <given-names>S</given-names></name> <etal/></person-group> <article-title><italic>Brucella</italic> control of dendritic cell maturation is dependent on the TIR-containing protein Btp1</article-title>. <source>PLoS Pathog</source> (<year>2008</year>) <volume>4</volume>:<fpage>e21</fpage>.<pub-id pub-id-type="doi">10.1371/journal.ppat.0040021</pub-id><pub-id pub-id-type="pmid">18266466</pub-id></citation></ref>
<ref id="B11"><label>11</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Weiss</surname> <given-names>DS</given-names></name> <name><surname>Takeda</surname> <given-names>K</given-names></name> <name><surname>Akira</surname> <given-names>S</given-names></name> <name><surname>Zychlinsky</surname> <given-names>A</given-names></name> <name><surname>Moreno</surname> <given-names>E</given-names></name></person-group>. <article-title>MyD88, but not toll-like receptors 4 and 2, is required for efficient clearance of <italic>Brucella abortus</italic></article-title>. <source>Infect Immun</source> (<year>2005</year>) <volume>73</volume>:<fpage>5137</fpage>&#x02013;<lpage>43</lpage>.<pub-id pub-id-type="doi">10.1128/IAI.73.8.5137</pub-id><pub-id pub-id-type="pmid">16041030</pub-id></citation></ref>
<ref id="B12"><label>12</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Oliveira</surname> <given-names>FS</given-names></name> <name><surname>Carvalho</surname> <given-names>NB</given-names></name> <name><surname>Brand&#x000E3;o</surname> <given-names>APMS</given-names></name> <name><surname>Gomes</surname> <given-names>MTR</given-names></name> <name><surname>de Almeida</surname> <given-names>LA</given-names></name> <name><surname>Oliveira</surname> <given-names>SC</given-names></name></person-group>. <article-title>Interleukin-1 receptor-associated kinase 4 is essential for initial host control of <italic>Brucella abortus</italic> infection</article-title>. <source>Infect Immun</source> (<year>2011</year>) <volume>79</volume>:<fpage>4688</fpage>&#x02013;<lpage>95</lpage>.<pub-id pub-id-type="doi">10.1128/IAI.05289-11</pub-id><pub-id pub-id-type="pmid">21844234</pub-id></citation></ref>
<ref id="B13"><label>13</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Macedo</surname> <given-names>GC</given-names></name> <name><surname>Magnani</surname> <given-names>DM</given-names></name> <name><surname>Carvalho</surname> <given-names>NB</given-names></name> <name><surname>Bruna-Romero</surname> <given-names>O</given-names></name> <name><surname>Gazzinelli</surname> <given-names>RT</given-names></name> <name><surname>Oliveira</surname> <given-names>SC</given-names></name></person-group>. <article-title>Central role of MyD88-dependent dendritic cell maturation and proinflammatory cytokine production to control <italic>Brucella abortus</italic> infection</article-title>. <source>J Immunol</source> (<year>2008</year>) <volume>180</volume>:<fpage>1080</fpage>&#x02013;<lpage>7</lpage>.<pub-id pub-id-type="doi">10.4049/jimmunol.180.2.1080</pub-id><pub-id pub-id-type="pmid">18178848</pub-id></citation></ref>
<ref id="B14"><label>14</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Copin</surname> <given-names>R</given-names></name> <name><surname>De Baetselier</surname> <given-names>P</given-names></name> <name><surname>Carlier</surname> <given-names>Y</given-names></name> <name><surname>Letesson</surname> <given-names>J-J</given-names></name> <name><surname>Muraille</surname> <given-names>E</given-names></name></person-group>. <article-title>MyD88-dependent activation of B220-CD11b&#x0002B;LY-6C&#x0002B; dendritic cells during <italic>Brucella melitensis</italic> infection</article-title>. <source>J Immunol</source> (<year>2007</year>) <volume>178</volume>:<fpage>5182</fpage>&#x02013;<lpage>91</lpage>.<pub-id pub-id-type="doi">10.4049/jimmunol.178.8.5182</pub-id><pub-id pub-id-type="pmid">17404301</pub-id></citation></ref>
<ref id="B15"><label>15</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Campos</surname> <given-names>MA</given-names></name> <name><surname>Rosinha</surname> <given-names>GMS</given-names></name> <name><surname>Almeida</surname> <given-names>IC</given-names></name> <name><surname>Salgueiro</surname> <given-names>XS</given-names></name> <name><surname>Jarvis</surname> <given-names>BW</given-names></name> <name><surname>Splitter</surname> <given-names>GA</given-names></name> <etal/></person-group> <article-title>Role of Toll-like receptor 4 in induction of cell-mediated immunity and resistance to <italic>Brucella abortus</italic> infection in mice</article-title>. <source>Infect Immun</source> (<year>2004</year>) <volume>72</volume>:<fpage>176</fpage>&#x02013;<lpage>86</lpage>.<pub-id pub-id-type="doi">10.1128/IAI.72.1.176-186.2004</pub-id><pub-id pub-id-type="pmid">14688095</pub-id></citation></ref>
<ref id="B16"><label>16</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zwerdling</surname> <given-names>A</given-names></name> <name><surname>Delpino</surname> <given-names>MV</given-names></name> <name><surname>Barrionuevo</surname> <given-names>P</given-names></name> <name><surname>Cassataro</surname> <given-names>J</given-names></name> <name><surname>Pasquevich</surname> <given-names>KA</given-names></name> <name><surname>Garc&#x00131;</surname> <given-names>C</given-names></name> <etal/></person-group> <article-title><italic>Brucella</italic> lipoproteins mimic dendritic cell maturation induced by <italic>Brucella abortus</italic></article-title>. <source>Microbes Infect</source> (<year>2008</year>) <volume>10</volume>:<fpage>1346</fpage>&#x02013;<lpage>54</lpage>.<pub-id pub-id-type="doi">10.1016/j.micinf.2008.07.035</pub-id></citation></ref>
<ref id="B17"><label>17</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zwerdling</surname> <given-names>A</given-names></name> <name><surname>Delpino</surname> <given-names>MV</given-names></name> <name><surname>Pasquevich</surname> <given-names>KA</given-names></name> <name><surname>Barrionuevo</surname> <given-names>P</given-names></name> <name><surname>Cassataro</surname> <given-names>J</given-names></name> <name><surname>Garc&#x000ED;a Samartino</surname> <given-names>C</given-names></name> <etal/></person-group> <article-title><italic>Brucella abortus</italic> activates human neutrophils</article-title>. <source>Microbes Infect</source> (<year>2009</year>) <volume>11</volume>:<fpage>689</fpage>&#x02013;<lpage>97</lpage>.<pub-id pub-id-type="doi">10.1016/j.micinf.2009.04.010</pub-id><pub-id pub-id-type="pmid">19376263</pub-id></citation></ref>
<ref id="B18"><label>18</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Giambartolomei</surname> <given-names>GH</given-names></name> <name><surname>Zwerdling</surname> <given-names>A</given-names></name> <name><surname>Cassataro</surname> <given-names>J</given-names></name> <name><surname>Bruno</surname> <given-names>L</given-names></name> <name><surname>Fossati</surname> <given-names>CA</given-names></name> <name><surname>Philipp</surname> <given-names>MT</given-names></name></person-group>. <article-title>Lipoproteins, not lipopolysaccharide, are the key mediators of the proinflammatory response elicited by heat-killed <italic>Brucella abortus</italic></article-title>. <source>J Immunol</source> (<year>2004</year>) <volume>173</volume>:<fpage>4635</fpage>&#x02013;<lpage>42</lpage>.<pub-id pub-id-type="doi">10.4049/jimmunol.173.7.4635</pub-id><pub-id pub-id-type="pmid">15383598</pub-id></citation></ref>
<ref id="B19"><label>19</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname> <given-names>L-Y</given-names></name> <name><surname>Aliberti</surname> <given-names>J</given-names></name> <name><surname>Leifer</surname> <given-names>CA</given-names></name> <name><surname>Segal</surname> <given-names>DM</given-names></name> <name><surname>Sher</surname> <given-names>A</given-names></name> <name><surname>Golenbock</surname> <given-names>DT</given-names></name> <etal/></person-group> <article-title>Heat-killed <italic>Brucella abortus</italic> induces TNF and IL-12p40 by distinct MyD88-dependent pathways: TNF, unlike IL-12p40 secretion, is Toll-like receptor 2 dependent</article-title>. <source>J Immunol</source> (<year>2003</year>) <volume>171</volume>:<fpage>1441</fpage>&#x02013;<lpage>6</lpage>.<pub-id pub-id-type="doi">10.4049/jimmunol.171.3.1441</pub-id><pub-id pub-id-type="pmid">12874236</pub-id></citation></ref>
<ref id="B20"><label>20</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Terwagne</surname> <given-names>M</given-names></name> <name><surname>Ferooz</surname> <given-names>J</given-names></name> <name><surname>Rolan</surname> <given-names>HG</given-names></name> <name><surname>Sun</surname> <given-names>Y-H</given-names></name> <name><surname>Atluri</surname> <given-names>V</given-names></name> <name><surname>Xavier</surname> <given-names>MN</given-names></name> <etal/></person-group> <article-title>Innate immune recognition of flagellin limits systemic persistence of <italic>Brucella</italic></article-title>. <source>Cell Microbiol</source> (<year>2013</year>) <volume>15</volume>:<fpage>942</fpage>&#x02013;<lpage>60</lpage>.<pub-id pub-id-type="doi">10.1111/cmi.12088</pub-id><pub-id pub-id-type="pmid">23227931</pub-id></citation></ref>
<ref id="B21"><label>21</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kahl-McDonagh</surname> <given-names>MM</given-names></name> <name><surname>Arenas-Gamboa</surname> <given-names>AM</given-names></name> <name><surname>Ficht</surname> <given-names>TA</given-names></name></person-group>. <article-title>Aerosol infection of BALB/c mice with <italic>Brucella melitensis</italic> and <italic>Brucella abortus</italic> and protective efficacy against aerosol challenge</article-title>. <source>Infect Immun</source> (<year>2007</year>) <volume>75</volume>:<fpage>4923</fpage>&#x02013;<lpage>32</lpage>.<pub-id pub-id-type="doi">10.1128/IAI.00451-07</pub-id><pub-id pub-id-type="pmid">17664263</pub-id></citation></ref>
<ref id="B22"><label>22</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Revelli</surname> <given-names>DA</given-names></name> <name><surname>Boylan</surname> <given-names>JA</given-names></name> <name><surname>Gherardini</surname> <given-names>FC</given-names></name></person-group>. <article-title>A non-invasive intratracheal inoculation method for the study of pulmonary melioidosis</article-title>. <source>Front Cell Infect Microbiol</source> (<year>2012</year>) <volume>2</volume>:<fpage>164</fpage>.<pub-id pub-id-type="doi">10.3389/fcimb.2012.00164</pub-id><pub-id pub-id-type="pmid">23267442</pub-id></citation></ref>
<ref id="B23"><label>23</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shimada</surname> <given-names>K</given-names></name> <name><surname>Chen</surname> <given-names>S</given-names></name> <name><surname>Dempsey</surname> <given-names>PW</given-names></name> <name><surname>Sorrentino</surname> <given-names>R</given-names></name> <name><surname>Alsabeh</surname> <given-names>R</given-names></name> <name><surname>Slepenkin</surname> <given-names>AV</given-names></name> <etal/></person-group> <article-title>The NOD/RIP2 pathway is essential for host defenses against <italic>Chlamydophila pneumoniae</italic> lung infection</article-title>. <source>PLoS Pathog</source> (<year>2009</year>) <volume>5</volume>:<fpage>e1000379</fpage>.<pub-id pub-id-type="doi">10.1371/journal.ppat.1000379</pub-id><pub-id pub-id-type="pmid">19360122</pub-id></citation></ref>
<ref id="B24"><label>24</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Barquero-Calvo</surname> <given-names>E</given-names></name> <name><surname>Chaves-Olarte</surname> <given-names>E</given-names></name> <name><surname>Weiss</surname> <given-names>DS</given-names></name> <name><surname>Guzm&#x000E1;n-Verri</surname> <given-names>C</given-names></name> <name><surname>Chac&#x000F3;n-D&#x000ED;az</surname> <given-names>C</given-names></name> <name><surname>Rucavado</surname> <given-names>A</given-names></name> <etal/></person-group> <article-title><italic>Brucella abortus</italic> uses a stealthy strategy to avoid activation of the innate immune system during the onset of infection</article-title>. <source>PLoS One</source> (<year>2007</year>) <volume>2</volume>:<fpage>e631</fpage>.<pub-id pub-id-type="doi">10.1371/journal.pone.0000631</pub-id><pub-id pub-id-type="pmid">17637846</pub-id></citation></ref>
<ref id="B25"><label>25</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Byndloss</surname> <given-names>MX</given-names></name> <name><surname>Tsolis</surname> <given-names>RM</given-names></name></person-group>. <article-title><italic>Brucella</italic> ssp. virulence factors and immunity</article-title>. <source>Annu Rev Anim Biosci</source> (<year>2016</year>) <volume>4</volume>:<fpage>111</fpage>&#x02013;<lpage>27</lpage>.<pub-id pub-id-type="doi">10.1146/annurev-animal-021815-111326</pub-id></citation></ref>
<ref id="B26"><label>26</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pappas</surname> <given-names>G</given-names></name> <name><surname>Bosilkovski</surname> <given-names>M</given-names></name> <name><surname>Akritidis</surname> <given-names>N</given-names></name> <name><surname>Mastora</surname> <given-names>M</given-names></name> <name><surname>Krteva</surname> <given-names>L</given-names></name> <name><surname>Tsianos</surname> <given-names>E</given-names></name></person-group>. <article-title>Brucellosis and the respiratory system</article-title>. <source>Clin Infect Dis</source> (<year>2003</year>) <volume>37</volume>:<fpage>e95</fpage>&#x02013;<lpage>9</lpage>.<pub-id pub-id-type="doi">10.1086/378125</pub-id><pub-id pub-id-type="pmid">13130417</pub-id></citation></ref>
<ref id="B27"><label>27</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hatipolglu</surname> <given-names>C</given-names></name> <name><surname>Bilgin</surname> <given-names>G</given-names></name> <name><surname>Tulek</surname> <given-names>N</given-names></name> <name><surname>Kosar</surname> <given-names>U</given-names></name></person-group>. <article-title>Pulmonary involvement in brucellosis</article-title>. <source>J Infect</source> (<year>2005</year>) <volume>51</volume>:<fpage>116</fpage>&#x02013;<lpage>9</lpage>.<pub-id pub-id-type="doi">10.1016/j.jinf.2004.10.004</pub-id><pub-id pub-id-type="pmid">16038761</pub-id></citation></ref>
<ref id="B28"><label>28</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Erdem</surname> <given-names>H</given-names></name> <name><surname>Inan</surname> <given-names>A</given-names></name> <name><surname>Elaldi</surname> <given-names>N</given-names></name> <name><surname>Tekin</surname> <given-names>R</given-names></name> <name><surname>Gulsun</surname> <given-names>S</given-names></name> <name><surname>Ataman-Hatipoglu</surname> <given-names>C</given-names></name> <etal/></person-group> <article-title>Respiratory system involvement in brucellosis</article-title>. <source>Chest</source> (<year>2014</year>) <volume>145</volume>:<fpage>87</fpage>&#x02013;<lpage>94</lpage>.<pub-id pub-id-type="doi">10.1378/chest.13-0240</pub-id></citation></ref>
<ref id="B29"><label>29</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hanot Mambres</surname> <given-names>D</given-names></name> <name><surname>Machelart</surname> <given-names>A</given-names></name> <name><surname>Potemberg</surname> <given-names>G</given-names></name> <name><surname>De Trez</surname> <given-names>C</given-names></name> <name><surname>Ryffel</surname> <given-names>B</given-names></name> <name><surname>Letesson</surname> <given-names>J-J</given-names></name> <etal/></person-group> <article-title>Identification of immune effectors essential to the control of primary and secondary intranasal infection with <italic>Brucella melitensis</italic> in mice</article-title>. <source>J Immunol</source> (<year>2016</year>) <volume>196</volume>:<fpage>3780</fpage>&#x02013;<lpage>93</lpage>.<pub-id pub-id-type="doi">10.4049/jimmunol.1502265</pub-id><pub-id pub-id-type="pmid">27036913</pub-id></citation></ref>
<ref id="B30"><label>30</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Radhakrishnan</surname> <given-names>GK</given-names></name> <name><surname>Yu</surname> <given-names>Q</given-names></name> <name><surname>Harms</surname> <given-names>JS</given-names></name> <name><surname>Splitter</surname> <given-names>GA</given-names></name></person-group>. <article-title><italic>Brucella</italic> TIR domain-containing protein mimics properties of the Toll-like receptor adaptor protein TIRAP</article-title>. <source>J Biol Chem</source> (<year>2009</year>) <volume>284</volume>:<fpage>9892</fpage>&#x02013;<lpage>8</lpage>.<pub-id pub-id-type="doi">10.1074/jbc.M805458200</pub-id><pub-id pub-id-type="pmid">19196716</pub-id></citation></ref>
<ref id="B31"><label>31</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Archambaud</surname> <given-names>C</given-names></name> <name><surname>Salcedo</surname> <given-names>SP</given-names></name> <name><surname>Lelouard</surname> <given-names>H</given-names></name> <name><surname>Devilard</surname> <given-names>E</given-names></name> <name><surname>De Bovis</surname> <given-names>B</given-names></name> <name><surname>Van Rooijen</surname> <given-names>N</given-names></name> <etal/></person-group> <article-title>Contrasting roles of macrophages and dendritic cells in controlling initial pulmonary <italic>Brucella</italic> infection</article-title>. <source>Eur J Immunol</source> (<year>2010</year>) <volume>40</volume>(<issue>12</issue>):<fpage>3458</fpage>&#x02013;<lpage>71</lpage>.<pub-id pub-id-type="doi">10.1002/eji.201040497</pub-id></citation></ref>
</ref-list>
</back>
</article>