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<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.2024.1466520</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>Upregulation of TREM2 expression in M2 macrophages promotes <italic>Brucella abortus</italic> chronic infection</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Jingyu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2826292"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yan</surname>
<given-names>Zhirong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Weiyu</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Xiaofeng</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Jun</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/578426"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Peng</surname>
<given-names>Qisheng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/578266"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
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</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Key Laboratory for Zoonosis Research of the Ministry of Education, Institute of Zoonosis, and College of Veterinary Medicine, Jilin University</institution>, <addr-line>Changchun</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Institute of Microbiology Department, Jilin Provincial Center for Disease Control and Prevention</institution>, <addr-line>Changchun</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Tumor Hospital of Jilin Province</institution>, <addr-line>Changchun</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Shenzhen Center for Chronic Disease Control</institution>, <addr-line>Shenzhen</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Jean-Louis Mege, Aix-Marseille Universit&#xe9;, France</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Marisa Mariel Fernandez, Instituto de Estudios de la Inmunidad Humoral (UBA-CONICET), Argentina</p>
<p>Namrata Anand, University of Chicago Medical Center, United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Qisheng Peng, <email xlink:href="mailto:Qishengpeng@yahoo.com">Qishengpeng@yahoo.com</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>21</day>
<month>10</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>15</volume>
<elocation-id>1466520</elocation-id>
<history>
<date date-type="received">
<day>18</day>
<month>07</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>27</day>
<month>09</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Wang, Yan, Zhang, Liu, Wang and Peng</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Wang, Yan, Zhang, Liu, Wang and Peng</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) and the copyright owner(s) 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>
<italic>Brucella abortus</italic> (<italic>B.abortus</italic>) is a zoonotic bacterial pathogen that causes chronic host infections. The eradication of brucellosis using antibiotic therapy is often incomplete or slow. In a mouse model, the predominance of alternatively activated macrophages (also known as M2) plays an essential role in sustaining chronic infection. The underlying functional mechanism by which M2 sustains chronic infection remains unclear. Here, we show that <italic>B. abortus</italic> can enter M2 via triggering receptor expressed on myeloid cells 2 (TREM2) and promotes the upregulation of TREM2 expression of M2 in a type IV secretion system (T4SS)-dependent manner. Increased TREM2 enhances <italic>B. abortus</italic> growth within M2 by suppressing intracellular ROS production, preventing M2 pyroptosis via suppression of mitochondrial ROS (mROS), and promoting M2 proliferation by increasing &#x3b2;-catenin expression. In line with these results, downregulation of TREM2 expression suppressed <italic>B. abortus</italic> intracellular growth and M2 proliferation and induced M2 pyroptosis. In our mouse model, upregulation of TREM2 expression sustained the accumulation of M2 and <italic>B. abortus</italic> chronic infection, whereas downregulation of TREM2 expression restricted M2 proliferation and chronic infection. Collectively, our results suggest that targeting TREM2 may be a potential adjunct to antibiotic therapy for the prevention of chronic <italic>Brucella</italic> infection.</p>
</abstract>
<kwd-group>
<kwd>
<italic>Brucella abortus</italic>
</kwd>
<kwd>TREM2</kwd>
<kwd>macrophages</kwd>
<kwd>chronic infection</kwd>
<kwd>proliferation</kwd>
</kwd-group>
<counts>
<fig-count count="7"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="34"/>
<page-count count="13"/>
<word-count count="7261"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Microbial Immunology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>
<italic>Brucella abortus</italic> is a gram-negative facultative intracellular bacterium that causes brucellosis in humans and cattle. The disease is characterized by long-term infection in the host, which leads to chronic infection. Approximately 500,000 new human cases occur annually (<xref ref-type="bibr" rid="B1">1</xref>). Although the World Health Organization (WHO) recommends antibiotic therapy for human brucellosis, eradication of persistent intracellular <italic>Brucella</italic> spp. with antibiotic treatment is often incomplete or slow (<xref ref-type="bibr" rid="B2">2</xref>). Strategies to enhance antibiotic therapy are hampered by our poor understanding of the mechanisms by which chronic <italic>Brucella</italic> infection occurs.</p>
<p>Interactions between different macrophage subpopulations and <italic>Brucella</italic> are important for understanding <italic>Brucella</italic> survival and disease progression. At the acute stage of <italic>Brucella</italic> infection, classically activated macrophage (CAM; also known as M1) subtypes predominate, and have a high bactericidal capacity and proinflammatory responses. M1 macrophages are associated with proinflammatory cytokines, including IFN-&#x3b3;, TNF-&#x3b1;, and IL-6, and decreased bacterial survival within the spleen during the acute stage of infection (<xref ref-type="bibr" rid="B3">3</xref>). Conversely, <italic>Brucella</italic> replicates and survives preferentially in the non-inflammatory M2 phenotype in the spleen during chronic infection. Increased expression and activation of the intracellular receptor peroxisome proliferator-activated receptor &#x3b3; (PPAR&#x3b3;), which increases intracellular glucose availability, has been identified as a causal mechanism promoting enhanced bacterial survival in M2 and the prevalence of M2 during chronic infection (<xref ref-type="bibr" rid="B4">4</xref>). Recently, Kerrinnes et&#xa0;al. reported that the intracellular availability of polyamines induced by arginase-1 expression in M2 also promotes the chronic persistence of <italic>B. abortus</italic> (<xref ref-type="bibr" rid="B5">5</xref>). However, since studies have shown that factors required for the establishment of chronic diseases <italic>in vivo</italic> may not necessarily depend on nutrient availability in target cells, taking advantage of host cell metabolism is likely not the sole mechanism for pathogen persistence (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>).</p>
<p>TREM2 is a cell surface receptor that belongs to the family of TREM transmembrane immunoglobulin-type receptor family. TREM2 is primarily expressed in immune cells, such as dendritic cells, microglia, macrophages, and osteoclast precursors (<xref ref-type="bibr" rid="B8">8</xref>), and regulates cell functions through its transmembrane binding partner DNAX-activating protein 12. The importance of TREM2 in neurodegenerative diseases has been highlighted. TREM2 has been implicated in a wide array of functions including microglial proliferation, survival, phagocytosis, and inflammatory signaling. However, TREM2 also plays important roles in regulating bacterial or viral infection, especially in models where the activation and phenotype of macrophages are key to disease progression (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>). In a model of virus-induced chronic obstructive pulmonary disease, TREM2 expression was required for the proliferation and survival of macrophages (<xref ref-type="bibr" rid="B11">11</xref>). The upregulation of TREM2 expression induced by <italic>Mycobacterium tuberculosis</italic> infection promotes immune evasion in human macrophages (<xref ref-type="bibr" rid="B12">12</xref>). TREM2 deficiency promotes the activation of <italic>Brucella</italic>-infected macrophages, which promotes the killing of Brucella by enhancing nitric oxygen (NO) (<xref ref-type="bibr" rid="B13">13</xref>). Considering that M2 marophages infected with <italic>Brucella</italic> are more abundant during chronic infection and that TREM2 has a potential role in mediating cell proliferation and pathogen intracellular survival, we speculated that TREM2 may play a role in promoting M2 proliferation and sustaining chronic <italic>B. abortus</italic> infection.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Materials and methods</title>
<sec id="s2_1">
<title>Ethics statement</title>
<p>The animal protocol was performed according to the regulations of the Jilin University Animal Care and Use Committee. The related animal procedures also complied with the Guide for the Care and Use of Laboratory Animals (NIH Publication No. 85-23, revised 1996).</p>
</sec>
<sec id="s2_2">
<title>Antibodies and reagents</title>
<p>Anti-&#x3b2;-actin (clone: AC-15; Cat: A1978), anti-&#x3b2;-catenin (clone 7F7.2; Cat:04-958), DPI (Cat:4673-26-1), MitoTEMPO (cat:1334850-99-5), DCFH-DA (Cat: D6883), 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2-Htetrazolium bromide (MTT) (Cat: TOX1) and all secondary antibodies were purchased from Sigma-Aldrich (Shang Hai, China). Anti-GSDMD (clone: EPR19828; Cat: ab209845), anti-CD206(Cat: ab300621) and BrdU Cell Proliferation Assay Kit (Cat: ab287841) were purchased from Abcam (Shang Hai, China). Anti-TREM2 (D8I4C) rabbit mAb (91068) was purchased from Cell Signaling Technology (Shanghai, China). Mito-SOX (Cat: M36008) was purchased from Invitrogen (Shanghai, China). Anti-TREM2 neutralizing antibody (FAB17291A), mouse rIFN-<sub>&#x3b3;</sub> (Cat: NP_032363), and mouse rIL-4 (Cat: P07750) were purchased from R&amp;D Systems (Shanghai, China). Alexa Fluor 647 Anti-Mouse F4/80 antibody (Clone: T45-2342), anti-mouse CD11b conjugated to APC-Cy7 (clone: M1/70), anti-mouse CD11c conjugated to FITC (clone: HL3), anti-murine Ly-6G conjugated to PE (clone: 1A8), and Anti-Mouse CD206 PE (Clone: Y17-505) were purchased from BD Bioscience (Shanghai, China). Other chemicals were purchased from Sigma-Aldrich (Shanghai, China) unless otherwise indicated.</p>
</sec>
<sec id="s2_3">
<title>Bacterial strains and growth conditions</title>
<p>
<italic>B. abortus</italic> 2308 strain was a kind gift from Dr. Ding&#x2019;s laboratory (China Institute of Veterinary Drug Control, Beijing, China). <italic>B. abortus</italic> 2308 &#x394;VirB10 strain was from Dr. Chen&#x2019;s laboratory (Institute of Disease Control and Prevention, AMMS Beijing, China). The green fluorescent protein (GFP)-expressing <italic>B. abortus</italic> strain (<italic>Brucella</italic>-GFP) was previously generated by our lab (<xref ref-type="bibr" rid="B14">14</xref>). <italic>Brucella</italic> strains were grown on tryptic soy agar (TSA) or tryptic soy broth (TSB) plates. The number of <italic>B. abortus</italic> in the cultures was calculated by comparing the OD at 600 nm with a standard curve, whereas the actual concentration of inoculation was calculated by plating on TSA plates. All live <italic>B. abortus</italic> manipulations were performed in BSL3 (Biosafety Level 3) facilities based on the standard operating protocols approved by the Biosafety Committee of Jilin University.</p>
</sec>
<sec id="s2_4">
<title>Generation of RAW264.7 derivative cell lines</title>
<p>The TREM2 gene from RAW264.7-derived cDNA was obtained using PCR and then inserted into the pCDNA3.1 vector through the XhoI and ApaI restriction sites. After the plasmid was verified by DNA sequencing, pCDNA3.1-TREM2 or empty pCDNA3.1 vector was transfected into RAW264.7 cell line using Lipofectamine 3000 (Sigma), and stable lines were generated by selection with 400 &#x3bc;g/ml G418 (Invitrogen) (<xref ref-type="bibr" rid="B15">15</xref>).</p>
<p>TREM2 knockout plasmid LentiCRISPR-Cas9-TREM2 targeting mouse TREM2 and non-targeting control plasmid LentiCRISPR-Cas9-NT using annealed single guide RNA (sgRNA) oligonucleotide 5<sup>&#x2019;</sup>-ACTGGTAGAGACCCGCATCA-3<sup>&#x2019;</sup> and 5<sup>&#x2019;</sup>-GTACCATACCGCGTACCCTT-3<sup>&#x2019;</sup>, respectively. sgRNAs were inserted into the LentiCRISPRv2 vector (<xref ref-type="bibr" rid="B12">12</xref>). The lentivirus was produced by transiently transfecting HEK293T cells using the SuperFect transfection reagent (Qiagen, USA) with three plasmid systems (LentiCRISPR-Cas9-TREM2/CRISPR-Cas9-NT, psPAX2, and pMD2.G). The virus-containing supernatant was collected 72 h after transfection, filtered through 0.45 mm filters (Millipore, USA), and stored at &#x2212;80&#xb0;C. For transduction, lentivirus supernatants were mixed with DEAE-dextran (5 mg/mL) (Sigma-Aldrich) for 30 min and then added to RAW264.7 cells. After 3 days of infection, cells that had stably incorporated the lentiviral construct were selected for survival in the presence of puromycin (5 &#x3bc;g/mL) (Santa Cruz, USA) and analyzed by Western blotting to verify the overexpression or deletion of TREM2.</p>
</sec>
<sec id="s2_5">
<title>Infection of macrophages</title>
<p>Bone marrow-derived macrophages (BMDMs) from C57BL/6 mice were purified and cultured as previously described (<xref ref-type="bibr" rid="B16">16</xref>). BMDM-M1, BMDM-M2, or TREM2<sup>&#x2212;/&#x2212;</sup> BMDM-M2 was derived from BMDM that was stimulated with 10 ng/mL of mouse rINF&#x3b3;or rIL-4 overnight prior to experiment and kept throughout the experiments, respectively (<xref ref-type="bibr" rid="B4">4</xref>). RAW-M2-NT, RAW-M2-&#x394;TREM2, RAW-M2-TREM2, or RAW-M2-vector were generated from RAW264.7, derivative cell lines that were stimulated with 10 ng/mL of mouse rIL-4 overnight prior to the experiment and maintained throughout the experiments (<xref ref-type="bibr" rid="B17">17</xref>). Cells were then infected with <italic>B. abortus</italic> 2308 or &#x394;VirB2 strains in triplicate wells of a plate at a multiplicity of infection (MOI) of 100:1 by centrifuging <italic>B. abortus</italic> into cells at 400<italic>g</italic> at 4&#xb0;C for 10 min. After 15 min of infection in an atmosphere containing 5% CO<sub>2</sub> at 37&#xb0;C, &#x3b1;MEM medium was used to wash the cells three times to remove extracellular <italic>B. abortus</italic>, and the cells were infected for another 60 min in &#x3b1;MEM with 40 &#x3bc;g/ml gentamicin to kill extracellular <italic>Brucella</italic>. To investigate <italic>Brucella</italic> intracellular growth, infected cells were lysed with phosphate-buffered saline (PBS) with 0.1% Triton X-100 at the indicated time points, and serial dilutions of lysates were plated immediately onto TSA plates to count CFUs. When infection was performed in the presence of DPI or Mito-TEMPO, cells were pretreated for 3 h before infection. To block TREM2 signaling, the cells were pretreated with an anti-TREM2 neutralizing antibody for 20 min at room temperature before infection.</p>
</sec>
<sec id="s2_6">
<title>Phagocytosis assay</title>
<p>RAW-M2 derivative cell lines at a density of 50,000 cells/well were infected with <italic>Brucella</italic>-GFP, as described above. For the opsonized samples, <italic>B. abortus</italic> was pretreated with 20% mouse serum for 30 min before infection. After 4 h of infection, cells were scraped from the wells. PBS was used to wash the cells three times to take dead cells. The pellet was resuspended in PBS. Phagocytosis was measured by flow cytometry through analyzing the GFP signal.</p>
</sec>
<sec id="s2_7">
<title>Determination of NO production</title>
<p>The supernatant of each cell sample was collected at certain time points after <italic>B. abortus</italic> challenge. Nitric oxide (NO) content was measured by analyzing its stable product, nitrite, using Griess reagent (Sigma), as previously described (<xref ref-type="bibr" rid="B13">13</xref>). Data are expressed as micromoles of nitrite (mean &#xb1; SEM).</p>
</sec>
<sec id="s2_8">
<title>Measurement of intracellular ROS and mitochondrial ROS</title>
<p>Intracellular and mitochondrial ROS levels were detected using DCFH-DA and Mito-SOX, respectively. Briefly, macrophages at a density of 1 &#xd7; 10<sup>5</sup> cells/well in a 24-well plate at the indicated time points were incubated with 10 &#x3bc;M DCFH-DA or 5 &#x3bc;M Mito-SOX at 37&#xb0;C for 30 min in the dark. Cells were washed three times with PBS, and the fluorescence intensity was measured using Zeiss LSM 800 confocal microscopy or flow cytometry.</p>
</sec>
<sec id="s2_9">
<title>LDH assay</title>
<p>The concentration of lactate dehydrogenase (LDH) released from the macrophages was evaluated using a commercial kit of LDH assay kit (Roche) according to the manufacturer&#x2019;s procedure. In brief, supernatants of macrophages were collected at the indicated infection time points, the kit reagent was added to an aliquot of supernatant (50 &#x3bc;l) and incubated for 45 min, the reaction was halted, and the absorbance was analyzed at 560 nm using an ELISA plate reader. LDH released from macrophages was expressed as a percentage of total LDH activity. The total LDH was determined by lysing the cultures with Triton X-100 (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B18">18</xref>).</p>
</sec>
<sec id="s2_10">
<title>Viability assay</title>
<p>BMDM-M2 macrophage viability was measured using an MTT assay. Briefly, BMDM-M2 macrophages were cultured at a density of 2 &#xd7; 10<sup>4</sup> cells/well in a 96-well plate, treated with DMSO, Mito-TEMPO + Baf A1, Baf A1 or Baf A1+DPI, and then infected with <italic>B. abortus</italic> for 24 h. For TREM2<sup>&#x2212;/&#x2212;</sup> BMDM-M2, M2 macrophages were cultured at a density of 2 &#xd7; 10<sup>4</sup> cells/well in a 96-well plate and infected with <italic>B. abortus</italic> for 24 h. MTT solution was added to each well at a final concentration of 0.5 mg/ml and the macrophages were incubated for another 4 h. Based on the manufacturer&#x2019;s protocol, absorbance was measured at 570 nm using an automated ELISA plate reader (<xref ref-type="bibr" rid="B19">19</xref>).</p>
</sec>
<sec id="s2_11">
<title>Primers for real-time PCR assay</title>
<p>For each real-time reaction, reverse-transcribed cDNA products (2 &#x3bc;l) were amplified by PCR in a total volume of 25 &#x3bc;l with 10 pmol each of the related forward and reverse primers (see <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table</bold>
</xref>). B-actin served as the control. The fold change in mRNA levels in cells was determined using the comparative threshold cycle (Ct) method (<xref ref-type="bibr" rid="B14">14</xref>).</p>
</sec>
<sec id="s2_12">
<title>Proliferation assay</title>
<p>BMDM-M2 macrophage proliferation was analyzed using the BrdU incorporation assay. Based on the protocol of the BrdU cell proliferation ELISA kit (Abcam), an assay was performed to measure macrophage proliferation. Briefly, BMDM-M2 macrophages were cultured at a density of 2 &#xd7; 10<sup>4</sup> cells/well in a 96-well plate and treated with DMSO, Mito-TEMPO + Baf A1, Baf A1, anti-TREM2, or isotype antibody, and then infected with <italic>B. abortus</italic> for 48 h in the presence of BrdU. For TREM2<sup>&#x2212;/&#x2212;</sup> BMDM-M2, M2 macrophages were cultured at a density of 2 &#xd7; 10<sup>4</sup> cells/well in a 96-well plate, and then infected with <italic>B. abortus</italic> for 48 h in the presence of BrdU. M2 macrophages were then fixed, permeabilized, and denatured to enable the detection of BrdU incorporated with anti-BrdU antibody. After incubation with horseradish peroxidase-conjugated secondary antibody, an ELISA plate reader was used to quantify the colored reaction product at a dual wavelength of 450/550 nm. To eliminate the possibility that the results were affected by potential changes in viable cells, BrdU-positive ELISA signals were normalized to the total number of cells (<xref ref-type="bibr" rid="B19">19</xref>).</p>
</sec>
<sec id="s2_13">
<title>Western blot</title>
<p>Macrophages were lysed in ice-cold RIPA (radioimmunoprecipitation) mild detergent buffer. The protein content of the cells was analyzed using a BCA protein evaluation kit (Pierce, USA). Approximately 20 mg of protein from the lysates was loaded onto SDS&#x2013;PAGE and then transferred to a PVDF membrane. Membranes were incubated with the primary antibody at 4&#xb0;C overnight and then washed with PBS three times at room temperature, followed by incubation with a suitable secondary antibody for 2 h at room temperature. Protein bands on the membrane were visualized using ECL reagent (GE Healthcare, Shanghai, China). The band densities of the membranes were analyzed by densitometry (model GS-700, Imaging Densitometer; Bio-Rad). The background of the visualized bands was subtracted from that of the control area (<xref ref-type="bibr" rid="B15">15</xref>).</p>
</sec>
<sec id="s2_14">
<title>Animal experiments</title>
<p>Animal experiments were approved by the Institutional Animal Care and Use Committees of Jilin University (Changchun, China) and performed according to institutional guidelines. Five mice from each group (C57BL/6) were infected i.p. with 1 &#xd7; 10<sup>6</sup> <italic>B. abortus</italic>. At 3, 9, and 30 days after infection, the mice were euthanized by CO<sub>2</sub> asphyxiation, and the spleens were collected aseptically at necropsy. When indicated, mice were injected intraperitoneally (i.p.) with DMSO or Baf A1 (1 mg/kg body weight daily) from 18 dpi to 30 dpi. Spleen samples were also collected for the spleen CFU assay, myeloperoxidase (MPO) activity assay, gene expression analysis, immunohistochemistry analysis, and flow cytometry (<xref ref-type="bibr" rid="B20">20</xref>). TREM2<sup>&#x2212;/&#x2212;</sup> mice with C57BL/6 background were generously provided by Dr. Shuangxi Wang (Shandong University, China). Five mice from each group (wild-type or TREM2<sup>&#x2212;/&#x2212;</sup>) were infected i.p. with 1 &#xd7; 10<sup>6</sup> <italic>B. abortus</italic>. Thirty days after infection, mice were euthanized by CO<sub>2</sub> asphyxiation, and the spleen was collected aseptically at necropsy for spleen CFU assay or CD11b<sup>+</sup> CD206<sup>+</sup> assay by flow cytometry. Serum TNF&#x3b1; levels were analyzed using an ELISA kit from eBioscience (Shanghai, China) according to the manufacturer&#x2019;s instructions.</p>
</sec>
<sec id="s2_15">
<title>Flow cytometry analysis of M2, macrophage, DC, and neutrophil in the spleen</title>
<p>Flow cytometry analysis for the detection of M2 macrophages, DC, and neutrophils was performed in the spleen cells of C57BL/6 or TREM2<sup>&#x2212;/&#x2212;</sup> mice uninfected (NI) or infected with <italic>B. abortus</italic> for 9 or 30 days. Briefly, mice were inoculated intraperitoneally (i.p.) with 1 &#xd7; 10<sup>6</sup> CFU of <italic>B. abortus</italic> and sacrificed 9 or 30 days post-infection. The spleen cells were harvested and washed twice with sterile PBS. After washing, the cells were adjusted to 1 &#xd7; 10<sup>6</sup> cells in a 96-well plate, centrifuged at 1,500 rpm for 5 min at 4 &#x2da;C and washed with PBS/BSA (PBS containing 1% bovine serum albumin). The cells were blocked with an anti-CD16 antibody for 20 min at 4 &#x2da;C in PBS/BSA. The cells were then incubated for 20 min at 4 &#x2da;C with a cocktail of anti-F4/80 Alexa Fluor 647, anti-CD206 PE, anti-CD11b APC-Cy7, anti-CD11c FITC, and anti- Ly-6G PE. Finally, the cells were washed twice with PBS/BSA, resuspended in PBS, and detected using Attune Acoustic Focusing equipment (Thermo Fisher Scientific). The results were analyzed using the FloWJov10 software (BD Biosciences) (<xref ref-type="bibr" rid="B18">18</xref>).</p>
</sec>
<sec id="s2_16">
<title>Histological and immunohistochemistry</title>
<p>Mouse spleens were fixed with formalin, embedded in paraffin, and cut into 6-um thick sections. Spleen tissues were stained with hematoxylin&#x2013;eosin (HE). The slides were analyzed for histopathology. Immunohistochemical (IHC) staining of the spleen was performed for CD206 (Abcam, Shanghai, China) according to the manufacturer&#x2019;s protocols. Representative images were obtained using an Olympus microscope, and brightness was adjusted.</p>
</sec>
<sec id="s2_17">
<title>Statistical analysis</title>
<p>All values are expressed as the means &#xb1; SD. Data were analyzed using one-way ANOVA followed by Bonferroni correction. For statistical comparisons between two groups, we used an unpaired Newman&#x2013;Student t-test. All statistical analyses were performed using the SPSS software (version 10.0). Statistical significance was set at P &lt;0.05.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>
<italic>B. abortus</italic> infection upregulates TREM2 expression in M2</title>
<p>Bone marrow derived macrophages (BMDMs) were infected with <italic>B. abortus</italic> and followed for 48 h. TREM2 mRNA levels remained unchanged in the BMDM (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). BMDM polarized into M1 and infected with <italic>B. abortus</italic> also had similar TREM2 expression as uninfected cells (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). However, BMDM polarized into M2, and infected with <italic>B. abortus</italic> had significantly increased TREM2 mRNA and protein levels at 24 h and 48 h after infection (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1C, D</bold>
</xref>). Moreover, upregulation of TREM2 required live bacteria, as heat-killed <italic>B. abortus</italic> failed to induce TREM2 expression in BMDM-M2 cells (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1E</bold>
</xref>). These data suggest that an active bacteria-driven process is required to stimulate TREM2 expression in M2 cells. As the <italic>Brucella</italic> effectors secreted by T4SS is involved in regulating signaling pathways of host cells (<xref ref-type="bibr" rid="B21">21</xref>), we examined the expression of TREM2 in BMDM-M2 infected with <italic>B. abortus</italic> mutant with a mutation in T4SS (deletion of the critical VirB2 subunit, &#x394;VirB2). We found that &#x394;VirB2 <italic>B. abortus</italic> infection failed to increase TREM2 expression in M2 (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1E</bold>
</xref>). Suppression of VirB by bafilomycin A1(Baf A1) also prevented the upregulation of TREM2 expression compared with in the DMSO control in M2 cells (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1F</bold>
</xref>). Taken together, these data show that <italic>B. abortus</italic> infection triggers an upregulation of TREM2 expression in M2 macrophages in a T4SS-dependent manner.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>
<italic>B. abortus</italic> infection upregulates TREM2 expression in M2. TREM2 mRNA and protein levels of <italic>B. abortus</italic>-infected BMDMs, BMDM-M1, or BMDM-M2 (MOI = 100) were measured by RT-PCR <bold>(A&#x2013;C)</bold> and Western blotting <bold>(D)</bold> at the indicated time points, respectively. TREM2 gene expression was detected by RT-PCR with normalization to &#x3b2;-actin. RT-PCR data represents the result of three technical replicates (mean &#xb1; SD). <bold>(E)</bold> BMDM-M2 were left uninfected (NI) or infected with <italic>B. abortus</italic> (MOI = 100), heat-killed <italic>B. abortus</italic> (HK), or the &#x394;virB2 mutant <italic>B. abortus</italic> (MOI = 100) for 24 h prior to harvesting for TREM2 protein levels assay by Western blotting. <bold>(F)</bold> BMDM-M2 were infected with <italic>B. abortus</italic> (MOI = 100) in the presence of DMSO or Baf A1(100 nM) for the indicated times. TREM2 expression in M2 were analyzed by western blotting. Immunoblots <bold>(D&#x2013;F)</bold> were representative of three independent experiments. Detection of cellular &#x3b2;-actin was used as loading control. The intensity of the bands was quantified using the Bio-Rad densitometry. The 0 time point mean ratio of protein (TREM2): &#x3b2;-actin was defined as 100%. Quantitative data are depicted under the Western image. Western blotting and RT-PCR results were analyzed using a one-way ANOVA followed by Bonferroni correction. The uninfected (uni) cells were designed as control. P-values &lt;0.05 were considered significant (*, P &lt;0.05). NS indicates no significance.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1466520-g001.tif"/>
</fig>
</sec>
<sec id="s3_2">
<title>TREM2 in M2 contributes to phagocytosis of <italic>B. abortus</italic>
</title>
<p>Next, we used mouse macrophages RAW264.7 cells to investigate the role of TREM2 in M2 in mediating phagocytosis of <italic>B. abortus</italic> due to its functional similarity to BMDM (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). We generated RAW264.7 derivative cell lines that overexpressed TREM2 (RAW-TREM2) or deleted TREM2 (RAW-&#x394;TREM2). For controls, RAW264.7 cells expressing endogenous TREM2 were transduced with an empty expression vector (RAW-Vector) or a vector expressing a non-target sgRNA sequence (RAW-NT). All cell lines were polarized into M2 (RAW-M2) with mouse IL-4, based on previous methods (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B22">22</xref>). The overexpression or deletion of TREM2 in RAW-M2 cell lines was confirmed by western blotting (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>) and then infected with unopsonized GFP-expressing <italic>B. abortus.</italic> TREM2-deficeincy reduced the phagocytosis of <italic>B. abortus</italic> compared to RAW-M2-NT macrophages, whereas overexpression of TREM2 significantly increased the phagocytosis of <italic>B. abortus</italic> compared to RAW-M2-vector macrophages (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>). When <italic>B. abortus</italic> was opsonized, phagocytosis of <italic>B. abortus</italic> by TREM2 overexpression-M2 was enhanced compared to RAW-M2-vector M2, but TREM2-deficeincy did not decrease phagocytosis of <italic>B. abortus</italic> (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>), suggesting that TREM2 functions as a nonopsonic phagocytic receptor for <italic>B. abortus</italic>. To confirm that TREM2 contributes to phagocytosis by <italic>B. abortus</italic>, anti-TREM2 blocking antibody was used at various concentrations (1 ug/mL to 10 ug/mL) to treat M2 prior to infection with <italic>B. abortus</italic>. We found that blocking TREM2 with an anti-TREM2 antibody significantly diminished the ability of M2 to phagocytose <italic>B. abortus</italic> at 5 mg/mL or 10 mg/mL (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>). Together, our data suggest that TREM2 is involved in the phagocytosis of <italic>B. abortus</italic> in M2.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>TREM2 contributes to <italic>B. abortus</italic> phagocytosis in M2. <bold>(A)</bold> TREM2 protein levels of <italic>B. abortus</italic>-infected RAW-M2(MOI = 100) were measured by Western blotting at the indicated time points. <bold>(B)</bold> RAW-M2-NT, RAW-M2-&#x394;TREM2, RAW-M2-Vector, or RAW-M2-TREM2+ cells were assessed for TREM2 protein expression by Western blotting. <italic>B. abortus</italic> (expressing GFP) were opsonized with mouse serum <bold>(C)</bold> or unopsonized <bold>(D)</bold> for 20 min, and then these bacteria were used to infect Raw-M2 derivative cell lines for another 4 h Phagocytosis was analyzed by flow cytometry through qualification of GFP<sup>+</sup> cells (top panel). Representative images of phagocytosis of GFP-expressing <italic>Brucella</italic> in RAW-M2-NT and RAW-M2-&#x394;TREM2 (bottom panel) Scale bar &#x200a;=&#x200a; 50 &#xb5;m <bold>(E)</bold> BMDM-M2 were pretreated with TREM2 antibody (1 &#x3bc;g/mL to 10&#x2009; &#x3bc;g/mL) or isotype antibody treated for 20 min, and then infected with <italic>B. abortus</italic> (expressing GFP) for 4 h Cells were analyzed by flow cytometry to quantify levels of phagocytosis. Immunoblots <bold>(A, B)</bold> were representative of three independent experiments. Detection of cellular &#x3b2;-actin was used as loading control. The intensity of the bands was quantified using the Bio-Rad densitometry. The 0 time point <bold>(A)</bold> or RAW-M2-NT <bold>(B)</bold> mean ratio of protein (TREM2): &#x3b2;-actin was defined as 100%. Quantitative data are depicted under the Western image. Phagocytosis was expressed as means &#xb1; standard deviations from two independent experiments. Phagocytosis results were analyzed using a one-way ANOVA followed by Bonferroni correction. P-values &lt;0.05 were considered significant (*, P &lt;0.05). NS indicates no significance.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1466520-g002.tif"/>
</fig>
</sec>
<sec id="s3_3">
<title>
<italic>B. abortus</italic> utilizes TREM2 to promote its intracellular survival by suppressing intracellular ROS production</title>
<p>RAW- M2-NT, RAW-M2-&#x394;TREM2, RAW-M2-Vector, or RAW-M2-TREM2+ cells were infected with <italic>B. abortus</italic> for 48 h, and bacterial intracellular growth was determined by CFU assay. We observed that <italic>B. abortus</italic> survival was reduced in RAW-M2-&#x394;TREM2 compared to RAW- M2-NT, whereas overexpression of TREM2 increased intracellular <italic>B. abortus</italic> growth compared to RAW-M2-Vector (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). To determine whether <italic>B. abortus</italic> exploits TREM2 to promote its intracellular survival, DMSO or Baf A1- treated M2, which have the same levels of TREM2 protein at 4 h post-infection (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>), were used to determine the role of TREM2 in mediating intracellular bacterial survival during infection. As shown in <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>, phagocytosis was similar for all conditions at 4 h post-infection, but the number of <italic>B. abortus</italic> in DMSO (or mock)-treated M2 was significantly increased at 24 h or 48 h post-infection compared to Baf A1- treated M2. These data indicate that upregulation of TREM2 expression is required for the increased intracellular survival of <italic>B. abortus.</italic>
</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>TREM2 enhances <italic>B. abortus</italic> survival by suppressing M2 intracellular ROS production. <bold>(A)</bold> RAW-M2-NT, RAW-M2-&#x394;TREM2, RAW-M2-Vector, or RAW-M2-TREM2+ cells were infected with <italic>B. abortus</italic> (MOI = 100), respectively. Intracellular numbers of <italic>B. abortus</italic> at the indicated times were analyzed by CFU assay. <bold>(B)</bold> BMDM-M2 macrophages were infected with <italic>B. abortus</italic> (MOI = 100) in the presence of DMSO or Baf A1 (100 nM) or mock treatment. The intracellular numbers of <italic>B. abortus</italic> were analyzed by CFU assay at the indicated time points. CFU was expressed as means &#xb1; standard deviations from two independent experiments. *P &lt;0.05 vs. Baf A1. BMDM-M2 were infected with <italic>B. abortus</italic> (MOI = 100) for 8 h, 24 h, or 48 h in the presence of DMSO or Baf A1 (100 nM) or mock treatment. The concentration of nitric oxide (NO) in the culture supernatant collected was measured using Griess reagent <bold>(C)</bold>. The intracellular ROS production was detected by DCFH-DADHE. The graph demonstrates the SEM and mean of changes in production of intracellular ROS compared with the uninfected cells (as 100%) <bold>(D)</bold>. The mitochondria ROS (mROS) concentrations were detected by Mito-SOX. The graph demonstrates the SEM and mean of changes in production of mROS compared with the uninfected cells (as 100%) (top panel), representative images of Mito-SOX red (mitochondrial ROS marker) staining of Mock, DMSO and Baf A1 (48 h) (bottom panel). Scale bar =&#x200a;50 &#xb5;m <bold>(E)</bold>. DMSO-pretreated BMDM-M2 were infected with <italic>B. abortus</italic> (MOI = 100), or Baf A1 (100 nM)-pretreated BMDM-M2 were infected with <italic>B. abortus</italic> (MOI = 100) in the presence or absence of 10 &#x3bc;M DPI <bold>(F)</bold> or in the presence or absence of 10 &#x3bc;M Mito-TEMPO <bold>(G)</bold>, and then bacterial survival was analyzed at the indicated times by CFU assay. *P &lt;0.05 vs. Baf A1 alone. There is no significance (NS) between Baf A1 treatment and Baf A1 plus Mito-TEMPO. <bold>(H)</bold> Isotype pretreated or anti-TREM2 antibody (5 ug/ml) pretreated BMDM-M2 macrophages were infected with <italic>B. abortus</italic> (MOI = 100) in the presence of Mock or 10 &#x3bc;M Mito-TEMPO, and then bacterial survival at 48 h post-infection was analyzed by CFU assay. All results were analyzed using a one-way ANOVA followed by Bonferroni correction. P-values &lt;0.05 were considered significant (*, P &lt;0.05). NS indicates no significance.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1466520-g003.tif"/>
</fig>
<p>As TREM2-mediated antibacterial defense is associated with intracellular NO or ROS production (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B13">13</xref>), we investigated whether NO or ROS production driven by TREM2 was responsible for the <italic>B. abortus</italic> survival in M2. The intracellular NO and ROS levels of DMSO or Baf A1-treated <italic>B. abortus</italic>-infected M2 macrophages or <italic>B. abortus</italic>-infected TREM2<sup>&#x2212;/&#x2212;</sup> M2 macrophages were measured. We did not find significant changes in NO production in the experimental groups (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>; <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S1A</bold>
</xref>), suggesting that NO was not involved in TREM2-mediated <italic>Brucella</italic> intracellular survival. However, M2 intracellular and mitochondrial ROS were significantly inhibited by <italic>B. abortus</italic> at 24 h and 48 h post-infection (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3D, E</bold>
</xref>; <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures S1B, C</bold>
</xref>). Baf A1-treatment or TREM2 deficiency prevented the suppression of ROS compared to mock and DMSO treated or uninfected M2 (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3D, E</bold>
</xref>; <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures S1B, C</bold>
</xref>). Interestingly, inhibition of cellular ROS production with the intercellular ROS inhibitor DPI (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3F</bold>
</xref>), but not mitochondrial ROS (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3G</bold>
</xref>), inhibition with Mito-TEMPO, increased the intracellular survival of <italic>B. abortus</italic> in M2. Using an antibody-mediated neutralization approach, we confirmed that neutralization of surface TREM2 in <italic>B. abortus</italic>-infected M2 cells, inhibited the intracellular survival of <italic>B. abortus</italic> (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3H</bold>
</xref>; <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S1D</bold>
</xref>). Taken together, our data demonstrate that <italic>B. abortus</italic> might exploit TREM2 to suppress intracellular ROS to promote its survival within M2.</p>
</sec>
<sec id="s3_4">
<title>
<italic>B. abortus</italic> exploits TREM2 to prevents pyroptotic M2 death through reducing mitochondrial ROS production</title>
<p>As overexpression of TREM2 suppressed mitochondrial ROS generation and has been shown to protect macrophages from pyroptosis during <italic>E. coli</italic> pulmonary infection (<xref ref-type="bibr" rid="B23">23</xref>), we investigated whether upregulation of TREM2 expression protects <italic>B. abortus</italic>-infected M2 from pyroptosis during <italic>Brucella</italic> infection. M2 were infected with <italic>B. abortus</italic> (B.a.) for 24 h in the presence of Baf A1, Baf A1 + DPI or Baf A1 + Mito-TEMPO and supernatant was harvested and submitted to western blotting (<xref ref-type="bibr" rid="B18">18</xref>) (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). Baf A1 or Baf A1 + DPI-treated infected M2 were able to cleave GSDMD into its active GSDMD-N subunit compared to DMSO-treated infected M2. GSDMD cleavage was inhibited in Baf A1 + Mito-TEMPO-treated M2 cells (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). We also found that <italic>B. abortus</italic> triggered a higher percentage of LDH release in Baf A1-treated M2 macrophages than in DMSO-treated M2 macrophages. Inhibition of mROS generation with Mito-TEMPO, but not intracellular ROS generation with DPI, suppress LDH release in M2 (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). Consistent with GSDMD cleavage and LDH release, cell survival was suppressed significantly in Baf A1or Baf A1 + DPI-treated M2 compared to DMSO or Baf A1 + Mito-TEMPO-treated M2, as examined by MTT assay (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>). Using M2 macrophages from TREM2<sup>&#x2212;/&#x2212;</sup> mice, we confirmed that TREM2 suppressed LDH release and increased cell survival by inhibiting mitochondrial ROS production (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures S2A, B</bold>
</xref>). These data suggest that <italic>B. abortus</italic> can exploit TREM2 to prevent M2 pyroptosis by inhibiting mitochondrial ROS production.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>TREM2-mediated mitochondrial ROS production is required for M2 pyroptosis in response to <italic>B. abortus</italic>. BMDM-M2 were infected with <italic>B. abortus</italic>. BMDM-M2 were primed with <italic>E. coli</italic> LPS (1 &#x3bc;g/ml) for 4 h, followed by infection with opsonized <italic>B. abortus</italic> (MOI:100) for 24 h in the presence of DMSO, 10 &#x3bc;M Mito-TEMPO + Baf A1 (100 nM), 10 &#x3bc;M DPI + Baf A1 (100 nM) or Baf A1 (100 nM). Immunoblot showing GSDMD and GSDMD-N in lysates of BMDM-M2. Immunoblots are representative of three independent experiments <bold>(A)</bold>. LDH release was measured by LDH-release kit in the supernatant of cells. The graph demonstrates the SEM and mean of changes in LDH release compared with cells lysed with Triton X-100 (as 100%) <bold>(B)</bold>. The viability of BMDM-M2 was examined by MTT assay. The graph demonstrates the SEM and mean of changes of cell viability compared with uninfected BMDM-M2 (as 1) <bold>(C)</bold>. LDH and viability results were analyzed using a one-way ANOVA followed by Bonferroni correction. P-values &lt;0.05 were considered significant t (*, P &lt;0.05). NI means uninfected. B.a means <italic>B. abortus</italic>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1466520-g004.tif"/>
</fig>
</sec>
<sec id="s3_5">
<title>TREM2 promotes M2 proliferation in response to <italic>B. abortus</italic>
</title>
<p>M2 were infected with <italic>B. abortus</italic> for 48 h in the presence of Baf A1, Baf A1 + DPI, DMSO or Baf A1 + Mito-TEMPO and a BrdU incorporation assay was performed to analyze M2 proliferation. Infection alone (DMSO) significantly increased M2 proliferation compared to Baf A1or Baf A1 + DPI treatment (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>). Interestingly, Baf A1 + Mito-TEMPO treatment also led to a significant change in M2 proliferation. The &#x3b2;-catenin signaling pathway is known to promote cell growth and is downstream of TREM2 (<xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B25">25</xref>). Therefore, we analyzed &#x3b2;-catenin expression in cell lysates from the treated cells. In line with these results, we found that infection alone (DMSO) or Baf A1 + Mito-TEMPO treatment increased&#x3b2;-catenin expression at 48 h post-infection; whereas &#x3b2;-catenin expression remained unchanged when <italic>B. abortus</italic> infected-M2 were treated with Baf A1or Baf A1 + DPI treatment (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>). TREM2 deficiency or blocking of TREM2 with an anti-TREM2 antibody significantly diminished M2 proliferation compared to WT cells or isotype antibody treatment (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>; <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S3A</bold>
</xref>). Western blot data confirmed the accumulation of &#x3b2;-catenin in isotype antibody-treated cells or WT cells and loss of &#x3b2;-catenin in anti-TREM2 antibody-treated cells or TREM2<sup>&#x2212;/&#x2212;</sup> cells (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5D</bold>
</xref>; <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S3B</bold>
</xref>). Taken together, these results indicate that upregulation of TREM2 expression triggered by <italic>B. abortus</italic> promotes M2 proliferation by inhibiting mitochondrial ROS production, which leads to activation of the &#x3b2;-catenin signaling pathway.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>
<italic>B. abortus</italic> induces M2 macrophages proliferation in a TREM2-dependent fashion. BMDM-M2 was uninfected (NI), or infected with <italic>B. abortus</italic> (MOI:100) for 48 h in the presence of DMSO, 10 &#x3bc;M Mito-TEMPO + Baf A1 (100 nM), or Baf A1 (100 nM), followed by using BrdU incorporation assay to measure the proliferation of BMDM-M2. The graph demonstrates the SEM and mean of changes of cell proliferation compared with uninfected BMDM-M2 (as 1) <bold>(A)</bold>. Immunoblot showing &#x3b2;-catenin in lysates of the above BMDM-M2 at 48 h post-infection <bold>(B)</bold>. Anti-TREM2 or isotype antibody-pretreated BMDM-M2 was uninfected (NI), or infected with <italic>B. abortus</italic> (MOI:100) for 48 h, followed by using BrdU incorporation assay to measure proliferation of BMDM-M2. The graph demonstrates the SEM and mean of changes of cell proliferation compared with uninfected BMDM-M2 (as 1) <bold>(C)</bold>. Immunoblot showing &#x3b2;-catenin in lysates of anti-TREM2 or isotype antibody-pretreated BMDM-M2 at 48 h post-infection <bold>(D)</bold>. Immunoblots are representative of three independent experiments. Cell proliferation were analyzed using a one-way ANOVA followed by Bonferroni correction. P-values &lt;0.05 were considered significant t (*P &lt;0.05). ns, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1466520-g005.tif"/>
</fig>
</sec>
<sec id="s3_6">
<title>The upregulation of TREM2 expression leads to more abundant M2 during chronic brucellosis</title>
<p>To further validate the above results, we analyzed transcripts of the TREM2 and M2 marker Arg1 in splenic CD11b<sup>+</sup> cells of C57BL/6 mice infected intraperitoneally with <italic>B. abortus</italic> for 3, 9, and 30 days. Our results showed that transcription of TREM2 was two times higher at 3 days post-infection (dpi), three times higher at 9 dpi, and eight times higher at 30 dpi, compared to uninfected conditions (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>). The expression level of the Arg1 gene was increased significantly at chronic infection (30 dpi) compared to acute infection (3 dpi&#x2013;9 dpi) (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>). In line with the increase in Arg1 gene expression, <italic>B. abortus</italic> infection led to a significant increase in the number of CD11b<sup>+</sup> CD206<sup>+</sup> M2 cells in the spleen during chronic infection (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>). TREM2 expression was significantly decreased in splenic CD11b<sup>+</sup> cells at 30 dpi when mice were injected intraperitoneally with Baf A1 (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6D</bold>
</xref>). Through flow cytometry analysis, we observed that Baf A1 treatment or TREM2 deficiency could lead to a significant decrease in CD11b<sup>+</sup> CD206<sup>+</sup> M2 numbers in the spleen compared to mock or DMSO treatment or wild-type mice (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6E</bold>
</xref>; <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S4</bold>
</xref>). The immunohistochemistry data showed that CD206 positive cells were abundant in the spleen tissue of infected mice, but Baf A1 treatment significantly reduced CD206 positive cells at 30 dpi (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6F</bold>
</xref>). These results demonstrate that upregulation of TREM2 expression is important for sustaining abundant M2 macrophages during chronic brucellosis <italic>in vivo</italic>.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>TREM2 promotes M2 proliferation during the chronic brucellosis. C57BL/6 mice were uninfected (NI) or infected intraperitoneally with 1 &#xd7; 10<sup>6</sup> CFU of <italic>B. abortus.</italic> Uninfected mice were sacrificed, and infected mice were sacrificed at 3, 9 and 30 days postinfection (dpi). RT-PCR gene expression analysis of TREM2 <bold>(A)</bold> or Arg1 <bold>(B)</bold> in CD11b<sup>+</sup> splenocytes from <italic>B. abortus</italic>-infected or -uninfected C57BL/6 mice at the indicated times. Data are mean &#xb1; SD of five mice/group. <bold>(C)</bold> Spleen cells from infected C57BL/6 mice were stained for flow cytometry analysis. Cells were assessed for CD11b<sup>+</sup> CD206<sup>+</sup>. Data are mean &#xb1; SD of five mice/group. <bold>(D)</bold> C57BL/6 mice were infected intraperitoneally (i.p) with 1 &#xd7; 10<sup>6</sup> CFU of <italic>B. abortus</italic>. Mice were mock treated or treated i.p. with DMSO or Baf A1 1mg per kg body weight daily from 18 dpi to 30 dpi. RT-PCR gene expression analysis of TREM2 in CD11b<sup>+</sup> splenocytes from C57BL/6 mice after 30 days. Data are mean &#xb1; SD of five mice/group. <bold>(E)</bold> CD11b<sup>+</sup> CD206<sup>+</sup> number were assessed by flow cytometry analysis at NI and 30 dpi in spleen of mice. Data are mean &#xb1; SD of five mice/group. <bold>(F)</bold> Representative images of IHC staining of spleen red pulp with anti-CD206 antibody at 30 dpi. Data was analyzed using a one-way ANOVA followed by Bonferroni correction. P-values &lt;0.05 were considered significant t (*P &lt;0.05). Bar is 100 &#x3bc;m. ns, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1466520-g006.tif"/>
</fig>
</sec>
<sec id="s3_7">
<title>TREM2 modulate <italic>B. abortus</italic> infection and inflammatory response during chronic brucellosis</title>
<p>C57BL/6 or TREM2<sup>&#x2212;/&#x2212;</sup> mice were infected with <italic>B. abortus</italic> for 30 days, and the bacterial CFU in the spleens were evaluated. Injection of <italic>B. abortus-</italic>infected mice with Baf A1 or TREM2 deficiency significantly decreased bacterial numbers in the spleen compared to DMSO or mock treatment (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>; <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S5A</bold>
</xref>). Anti-inflammatory cytokine IL-10 levels increased with infection, but significantly decreased in the serum of Baf A1 treated-mice at 30 dpi (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). Treatment of <italic>B. abortus</italic>-infected mice with Baf A1or <italic>B. abortus</italic>-infected TREM2<sup>&#x2212;/&#x2212;</sup> mice also led to a significant increase in TNF-&#x3b1; production compared to that in control infected mice (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7C</bold>
</xref>; <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S5B</bold>
</xref>). In line with the above results, Baf A1 treated-mice also exhibited increased induction of proinflammatory cytokine transcription, including IL-6, TNF-&#x3b1;, and IFN-&#x3b3;, in the spleen (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7D&#x2013;F</bold>
</xref>).</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>TREM2 is essential to control <italic>B. abortus</italic> infection and mediates inflammatory response during the chronic brucellosis. C57BL/6 mice were infected intraperitoneally with 1 &#xd7; 10<sup>6</sup> CFU of <italic>B. abortus</italic>. Mice were mock treated or treated i.p. with DMSO or Baf A1 1 mg per kg body weight daily from 18 dpi to 30 dpi. <bold>(A)</bold> Mice were sacrificed after 30 days, and diluted spleen homogenates were added to agar plates for CFU determination. Each symbol represents an animal and the median values are marked by horizontal bold lines. IL-10 <bold>(B)</bold> and TNF&#x3b1; <bold>(C)</bold> in serum were measured with ELISA kits. Data are mean &#xb1; SD of five mice/group. TNF&#x3b1; <bold>(D)</bold>, IL-6 <bold>(E)</bold>, and INF&#x3b3; <bold>(F)</bold> gene expression in spleen were analyzed by RT-PCR with normalization to &#x3b2;-actin. Data are mean &#xb1; SD of five mice/group. Spleen cells were stained for flow cytometry analysis of CD11b<sup>+</sup>F4/80<sup>+</sup>
<bold>(G)</bold>, CD11b<sup>+</sup> CD11c<sup>+</sup> <bold>(H)</bold>, and CD11b<sup>+</sup> Ly6G<sup>+</sup> <bold>(I)</bold>. Splenic homogenates were submitted to a myeloperoxidase (MPO) activity assay <bold>(J)</bold>. Data are mean &#xb1; SD of five mice/group. Data was analyzed using a one-way ANOVA followed by Bonferroni correction. P-values &lt;0.05 were considered significant t (*P &lt;0.05).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1466520-g007.tif"/>
</fig>
<p>To further evaluate the role of TREM2 in promoting <italic>Brucella</italic> growth within the spleen, we assessed the recruitment of immune cell populations into the spleen using flow cytometry after 30 dpi. The infected mice showed an increase in the number of macrophages (CD11b<sup>+</sup>F4/80<sup>+</sup>) (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7G</bold>
</xref>), dendritic cells (CD11b<sup>+</sup>CD11c<sup>+</sup>) (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7H</bold>
</xref>), and neutrophils (CD11b<sup>+</sup>LY6G<sup>+</sup>) (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7I</bold>
</xref>). Baf A1-treatment markedly increased these populations compared with DMSO-treated mice. Myeloperoxidase (MPO) activity in spleen cell homogenates was tested to corroborate the changes in neutrophil recruitment (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7J</bold>
</xref>). Taken together, these data suggest that TREM2 promotes anti-inflammatory M2 macrophage infiltration and proliferation, suppresses the recruitment of pro-inflammatory macrophage, dendritic cell, and neutrophil recruitment and allows chronic infection with <italic>B. abortus.</italic>
</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>Upregulation of TREM2 expression in M2 macrophages was induced by live wild-type <italic>B. abortus</italic> infection but not heat-killed <italic>Brucella</italic>, suggesting an active bacterial-driven process rather than a simple host response to <italic>Brucella</italic> pathogen-associated molecular patterns. Moreover, we found that T4SS is required for the upregulation of TREM2, as the &#x394;virB2 mutant or inhibition of T4SS expression suppresses infection-triggered increases in TREM2 expression. Because T4SS permits the injection of bacterial effectors inside host cells and favors bacterial intracellular growth (<xref ref-type="bibr" rid="B26">26</xref>), these results suggest that T4SS may contribute to TREM2 upregulation by enabling appropriate intracellular trafficking or secretion of a specific <italic>Brucella</italic> substrate. Interestingly, in our studies, live wild-type <italic>B. abortus</italic> infection was not able to induce TREM2 upregulation in M1 or other macrophages, a finding that is inconsistent with previous reports (<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B28">28</xref>). Moreover, TREM2 was shown to mediate <italic>Brucella</italic>-induced NO production but not ROS production and macrophage death (<xref ref-type="bibr" rid="B13">13</xref>). In this study, TREM2 regulated ROS production and M2 macrophage death. The discrepancies observed in our study might be explained by the fact that the interactions between <italic>Brucella</italic> and macrophage subpopulations are different (<xref ref-type="bibr" rid="B3">3</xref>). Indeed, we have shown that only M2 macrophages exhibit increased TREM2 expression caused by <italic>Brucella</italic> infection.</p>
<p>Our previous study showed that TREM2 expression in macrophages participates in the internalization of <italic>B. abortus</italic> (<xref ref-type="bibr" rid="B13">13</xref>). In this study, we further confirmed that TREM2 expression in M2 macrophages contributes to phagocytosis of <italic>B. abortus</italic> through overexpression of TREM2. This was confirmed using an anti-TREM2 antibody-mediated neutralization approach. Our findings are consistent with reports that TREM2 is involved in the phagocytosis of <italic>M</italic>. <italic>tuberculosis</italic>, <italic>E. coli</italic>, and <italic>S. pneumoniae</italic> (<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B29">29</xref>, <xref ref-type="bibr" rid="B30">30</xref>). However, increased intracellular survival of <italic>B. abortus</italic> in TREM2-overexpressing M2 and decreased bacterial survival in TREM2-deficient M2 are not simply attributed to initial differences in phagocytosis, because the differences in phagocytosis at 4 hpi are minimal compared to the dramatic differences in bacterial survival at 48 hpi. This suggests that TREM2 signaling plays an important role in mediating bacterial survival. Towards this end, we observed that elevated TREM2 expression participates in reducing intracellular ROS production to promote bacterial survival within M2, a finding that is reversed by the suppression of NOX2. Recently, mitochondrial ROS has also been shown to contribute to theantibacterial functions of macrophages (<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B32">32</xref>). However, our results showed that the inhibition of mitochondrial ROS did not increase <italic>B. abortus</italic> survival beyond that of untreated M2 cells. Considering that mitochondrial ROS executes its intracellular bacterial killing through the delivery of ROS into the cytoplasm (<xref ref-type="bibr" rid="B33">33</xref>), this phenotype could be explained by the low delivery of mitochondrial ROS into the cytoplasm, wherein the maximum levels of intracellular <italic>B. abortus</italic> have already been attained, and slight changes in intracellular ROS production do not lead to a detectable difference in intracellular <italic>B. abortus</italic> growth.</p>
<p>Previous studies have shown that M2 accumulation during chronic <italic>B. abortus</italic> infection is dependent on activation of the intracellular receptor PPAR&#x3b3; (<xref ref-type="bibr" rid="B4">4</xref>). In our experiments, we observed that TREM2 expression induced by <italic>B. abortus</italic> infection promoted M2 proliferation by increasing &#x3b2;-catenin expression. Downregulation of TREM2 expression or neutralization of surface TREM2 leads to the suppression of &#x3b2;-catenin-mediated proliferation. Two lines of evidence have demonstrated that TREM2 mediates M2 proliferation during chronic infection of mice. First, the increase in TREM2 expression is primarily due to the CD11b<sup>+</sup> fraction, which consists predominantly of M2 during chronic infection. Secondly, Baf A1 treatment, which led to a decrease in TREM2 expression, inhibited M2 proliferation. Therefore, our data suggest that TREM2 expression is required to increase the number of splenic M2 in chronic brucellosis. Interestingly, recent evidence has demonstrated that TREM2 is involved in glucose metabolism in macrophages (<xref ref-type="bibr" rid="B34">34</xref>). This raises the possibility that TREM2/&#x3b2;-catenin signaling may intersect with the PPAR<sub>&#x3b3;</sub>/glucose pathway to mediate M2 proliferation. However, more evidence is needed in future studies.</p>
<p>Collectively, we report that upregulation of TREM2 expression triggered by <italic>B. abortus</italic> infection contributes to the promotion of bacterial persistence and proliferation of M2 macrophages during chronic <italic>Brucella</italic> infection (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S6</bold>
</xref>). Considering that Brucellosis is a chronic infectious disease that ordinarily requires multiple antibiotics with frequent treatment failures and relapses, targeting TREM2 signaling through the downregulation of TREM2 expression or the use of TREM2 neutralizing antibodies could prove to be a promising adjunct to antibiotic therapy for the prevention of relapsing chronic infection.</p>
</sec>
</body>
<back>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Material</bold>
</xref>. Further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was approved by the Institutional Animal Care and Use Committee at Jilin University. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>JYW: Writing &#x2013; original draft, Investigation. ZY: Writing &#x2013; original draft, Investigation. WZ: Writing &#x2013; review &amp; editing, Resources. XL: Methodology, Writing &#x2013; review &amp; editing. JW: Writing &#x2013; review &amp; editing, Conceptualization. QP: Writing &#x2013; review &amp; editing, Supervision.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by NSFC (Natural Science Foundation of China) (31870121, 32470195) and Fundamental Research Funds for the Central Universities to QP.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>We thank Dr. Mary Beth Humphrey (University of Oklahoma Health Sciences Center and the Department of Veterans Affairs, Oklahoma City, Oklahoma, United States of America) for critically reading this manuscript.</p>
</ack>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</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>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s11" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2024.1466520/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2024.1466520/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.pdf" id="SM1" mimetype="application/pdf"/>
<supplementary-material xlink:href="DataSheet2.pdf" id="SM2" mimetype="application/pdf"/>
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