Hematopoietic stem and progenitor cells improve survival from sepsis by boosting immunomodulatory cells

  1. Daniel E Morales-Mantilla
  2. Bailee Kain
  3. Duy Le
  4. Anthony R Flores
  5. Silke Paust
  6. Katherine Y King  Is a corresponding author
  1. Graduate Program in Immunology, Baylor College of Medicine, United States
  2. Department of Pediatrics, Division of Infectious Diseases, Baylor College of Medicine, United States
  3. Graduate Program in Translational Biology and Molecular Medicine, Baylor College of Medicine, United States
  4. Division of Infectious Diseases, Department of Pediatrics, UTHSC/McGovern Medical School, United States
  5. The Scripps Research Institute, Department of Immunology and Microbiology, United States
9 figures, 2 tables and 1 additional file

Figures

Figure 1 with 1 supplement
Group A Streptococcus (GAS) infection promotes a rapid myeloid cell response.

(A) Experimental time frame of GAS infection and bone marrow (BM) analysis. (B) Serum levels of monocyte chemoattractant protein-1 (MCP-1) of naïve and GAS-infected mice. Absolute number of (C) monocytes, (D) granulocytes, (E) B cells, and (F) F cells in the BM of naïve and infected mice. Relative abundance of (G) monocytes, (H) granulocytes, (I) B cells, and (J) T cells in the blood. (B–J) Data is representative of three independent experiments; n = 3–5 mice/group; statistical comparison done using unpaired t-test; *p < 0.05, **p < 0.01, ****p < 0.0001. Outliers were identified using the ROUT method (Q = 5%).

Figure 1—source data 1

BM and PB populations of lineage cells and serum MCP-1 levels.

https://cdn.elifesciences.org/articles/74561/elife-74561-fig1-data1-v1.xlsx
Figure 1—figure supplement 1
Group A Streptococcus (GAS) infection and superinfection promotes exit of myeloid cells from bone marrow (BM) into circulation.

(A) Experimental time frame of superinfection and BM analysis. (B) Serum levels of monocyte chemoattractant protein-1 (MCP-1) of naïve and mice infected with GAS, flu, or both pathogens. Absolute number of (C) monocytes, (E) B cells, (G) granulocytes, and (I) T cells in the BM of naïve and infected mice. Relative abundance of blood (D) monocytes, (F) B cells, (H) granulocytes, and (J) T cells. (B–J) Data is representative of three independent experiments; n = 3–5; statistical comparison done using unpaired t-test; *p < 0.05, **p < 0.01,***p < 0.001, ****p < 0.0001.

Figure 1—figure supplement 1—source data 1

BM counts of HSPC populations of naïve, infected, and superinfected mice.

https://cdn.elifesciences.org/articles/74561/elife-74561-fig1-figsupp1-data1-v1.xlsx
Figure 2 with 1 supplement
Group A Streptococcus (GAS) infection depletes bone marrow (BM) hematopoietic stem and progenitor cells (HSPCs) 24 hr post infection.

(A) Experimental time frame of GAS infection and BM analysis. (B) Flow plot of HSPC gating and representation of different surface expression of cKit and Sca-1 during infection. Plots are gated from lineage negative BM cells. (C–F) Absolute number of HSPCs, hematopoietic stem cells (HSCs), multipotent progenitors (MPP) 3, and MPP4 in the BM of naïve and GAS-infected mice. Spleen populations of (G) HSPCs, (H) HSC/MPP1, (I) MPP2, and (J) MMP3/4 identified by differential expression of CD150 and CD48. (C–J) Data is representative of three independent experiments; n = 4–5 mice/group; statistical comparison done using unpaired t-test; *p < 0.05, **p < 0.01. Outliers were identified using the ROUT method (Q = 5%).

Figure 2—source data 1

BM counts of HSPC populations of naïve and infected mice and spleen HSPC populations.

https://cdn.elifesciences.org/articles/74561/elife-74561-fig2-data1-v1.xlsx
Figure 2—figure supplement 1
Superinfection further depletes hematopoietic stem and progenitor cells (HSPCs) and hematopoietic stem cells (HSCs) in the bone marrow (BM).

(A) Experimental design of superinfection. (B) Flow cytometry plots of HSPCs (LSK) and their phenotypic expression of surface c-Kit and Sca-1. (C–H) Absolute number of HSPC, HSCs, and multipotent progenitor (MPP) subpopulations in the BM of naïve, Group A Streptococcus (GAS)-infected, flu-infected, or superinfected mice. Data is representative of three independent experiments; n = 5 mice/group. Comparison was done using one-way ANOVA and Tukey’s correction for multiple comparisons; *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001.

Figure 2—figure supplement 1—source data 1

BM and PB levels of immune cells and MCP-1 during infection.

https://cdn.elifesciences.org/articles/74561/elife-74561-fig2-figsupp1-data1-v1.xlsx
Krt18 lineage tracing of naïve and Group A Streptococcus (GAS)-infected hematopoietic stem cells (HSCs).

(A) Genetic model of KRT18-CreERT2:Rosa26-lox-STOP-lox-TdTomato mouse system. (B) Representative gating of TdTomato expression in negative control (left: Genotype: Krt18-CreERT2+) and tamoxifen-induced positive control (right: Genotype: KRT18-CreERT2+: Rosa26-lox-STOP-lox-TdTomato+/-). Percent of bone marrow (BM) (C) hematopoietic stem and progenitor cell (HSPC), (D) HSC, (E) CD41+ HSC, and (F) myeloid populations that are TdTomato+. Percent of BM (G) total monocytes, (H) granulocytes, (I) granulocyte/monocyte progenitor (GMP), (J) BM T cells, and (K) BM B cells that are TdTomato+. Percent of peripheral blood (PB) (L) total myeloid cells, (M) monocytes, (N) granulocytes, (O) T cells, and (P) B cells that are TdTomato+. Data representative of three independent experiments; (C–N) n = 5–7 mice/group. Statistical comparison done using unpaired t-tests; *p < 0.05, **p < 0.01.

Figure 3—source data 1

Levels of newly generated cells in response to GAS infection.

https://cdn.elifesciences.org/articles/74561/elife-74561-fig3-data1-v1.xlsx
Hematopoietic stem and progenitor cell (HSPC) infusion in Group A Streptococcus (GAS)-infected mice promotes survival and increases progenitor populations in the bone marrow (BM).

(A) Experimental design of BM analysis and colony forming unit (CFU) count after HSPC infusion. (B) Flow plot of HSPC gating and representation of different surface expression of cKit and Sca-1 during infection. Plots are gated from lineage negative BM cells. (C–H) Absolute numbers of HSPCs, hematopoietic stem cells (HSCs), and downstream progenitors in the BM of naïve, GAS-infected mice, and GAS-infected mice rescued with HSPCs. Quantified bacterial load in the (I) limb and (J) spleen of infected mice. (K) Experimental design of the survival study. (J) Survival curve of GAS-infected mice with or without HSPC infusion. Data representative of three independent experiments; (C–H) n = 5–7 mice/group, (I and J) n = 8–10 mice/group, (L) n = 9–10 mice/group. Statistical comparison done using (C–H) one-way ANOVA with Tukey’s correction for multiple comparisons or (I and J) unpaired t-tests. ns = not significant, *p < 0.05, **p < 0.01, ***p < 0.001, *****p < 0.0001. Comparison of (L) survival was done using Log-rank (Mantel-Cox) test.

Hematopoietic stem and progenitor cell (HSPC) infusion in superinfected mice promotes survival without changing pathogen clearance.

(A) Experimental design of bone marrow (BM) analysis and colony forming unit (CFU) count post HSPC infusion in superinfected mice. (B–G) BM populations of HSPCs and downstream progenitors after HSPC infusion. Bacterial load in the (H) limb and (J) spleen of infected mice. (I) Viral load of mice with or without HSPC infusion. (K) Experimental design of the survival studies on superinfected mice. (L) Survival curve after HSPC infusion. Experiments are representative of three independent experiments. (B–J) Comparison done with unpaired t-test or Welch’s t-test. (B–G) n = 5, (H–J) n = 9–11, and (L) n = 9–10 mice per group. Comparison of (L) survival was done using Log-rank (Mantel-Cox) test. ns = not significant, *p < 0.05.

Figure 5—source data 1

HSPC levels in superinfected mice after infusion and survival data.

https://cdn.elifesciences.org/articles/74561/elife-74561-fig5-data1-v1.xlsx
Figure 6 with 1 supplement
Hematopoietic stem and progenitor cell (HSPC) infusion increases and restores myeloid-derived suppressor cell (MDSC) populations and dampens inflammation after Group A Streptococcus (GAS).

(A) Representative gating of MDSCs by their surface expression of Ly6G and Ly6C at day 3 post infection. Gated on CD11b + cells. Peripheral blood (PB) populations of (B) polymorphonuclear MDSCs (PMN-MDSCs) and (C) monocytic-MDSCs (M-MDSCs) of naïve, GAS-infected, and GAS-infected mice infused with HSPCs. Bone marrow (BM) populations of (D) PMN-MDSCs and (E) M-MDSCs of naïve, GAS-infected, and GAS-infected mice infused with HSPCs. (F) Heatmap of serum cytokine levels using ClustVis web tool (Metsalu and Vilo, 2015). Data representative of two (A–E) or four (F) independent experiments. (B–E) Statistical comparison done using one-way ANOVA with Tukey’s correction for multiple comparisons; n = 7 mice per group; *p < 0.05, **p < 0.01. Outliers were identified using the ROUT method (Q = 5%).

Figure 6—source data 1

BM and PB levels of MDSC populations and cytokine levels raw data.

https://cdn.elifesciences.org/articles/74561/elife-74561-fig6-data1-v1.xlsx
Figure 6—figure supplement 1
Myeloid-derived suppressor cells (MDSCs) reduce activated T cell proliferation.

The abundance of T cells in the (A) bone marrow (BM) and (B) peripheral blood (PB) of mice; n = 5–7 mice per group. (C) Experimental design of T cell suppression assay. Created with https://BioRender.com. (D) Flow cytometric measurement of T cell proliferation by dilution of CellTrace Violet dye. ‘M’ (monocytic) represents M-MDSCs and ‘PMN’ (polymorphonuclear) represents PMN-MDSCs. Data is representative of at least two experiments. Statistical comparison done using one-way ANOVA and Tukey’s correction for multiple comparisons; ***p < 0.001, ****p < 0.0001.

Figure 6—figure supplement 1—source data 1

T cell numbers after infusion and suppression assay data.

https://cdn.elifesciences.org/articles/74561/elife-74561-fig6-figsupp1-data1-v1.xlsx
Lineage fate of infused hematopoietic stem and progenitor cells (HSPCs) in Group A Streptococcus (GAS)-infected mice skews myeloid without signs of stem cell engraftment.

Gating representation of the lineage fate of (A) bone marrow (BM) HSPCs, (B) BM lineage cells, and (C) peripheral blood (PB) lineage cells 30 days after GAS infection. Data is representative of three independent experiments.

Author response image 1
Author response image 2

Tables

Table 1
Surface markers for flow cytometry.

Hematopoietic cell populations identified by flow cytometry were characterized using the listed surface markers. Lineage (Lin) markers include Gr1, CD11b, B220, CD4, CD8, and Ter119.

PopulationMarkers
HSCLin- ckit+ CD150+ CD48- CD34- Flk2-
CD41+ HSCsLin- ckit+ CD150+ CD48- CD34- Flk2- CD41+
Donor HSPCsLin- ckit+ Sca1+
HSPCsLin- ckit+
MPP1Lin- ckit+ CD150+ CD48 CD34+ Flk2-
MPP2Lin- ckit+ CD150+ CD48+ Flk2-
MPP3Lin- ckit+ CD150 CD48+ CD34+ Flk2-
MPP4Lin- ckit+ CD150 CD48+ CD34+ Flk2+
GMPLin- ckit+ CD41- CD150- CD16/32+
MkPLin- ckit+ CD150+ CD41+
Myeloid cellsGr1+ Mac1+ B220- CD4- CD8-
B cellsGr1- Mac1- B220+ CD4- CD8-
T cellsGr1- Mac1- B220- CD4+ CD8 or Gr1- Mac1- B220- CD4- CD8+
GranulocytesGr1+ Mac1+ B220- CD4- CD8- SSC-mid F4/80-
EosinophilsGr1- Mac1+ B220- CD4- CD8- SSCHi
MacrophagesGr1+ Mac1+ B220- CD4- CD8- SSClow F4/80+
MonocytesMac1+ B220- CD4- CD8- SSClow
PMN-MDSCCD11b + Ly6G + Ly6ClowCD244+
M-MDSCCD11b + Ly6G- Ly6Chi
Key resources table
Reagent type (species) or resourceDesignationSource or referenceIdentifiersAdditional information
AntibodyAmerican Hamster monoclonal Anti-mouse CD3eBiolegendClone 145–2C11 (Cat. No. 100301)(2 µg/mL) RRID:AB_312666
AntibodySyrian Hamster monoclonal anti-mouse CD28BiolegendClone 37.51 (Cat. No. 102101)(2 µg/mL)RRID:AB_312866
AntibodyRat Monoclonal anti-mouse Gr1-PECy5eBioscienceClone RB6-8C5 (Cat. No. 15-5931-82)(1:100)RRID:AB_468813
AntibodyRat Monoclonal Anti-Mouse CD11b PE-Cyanine5eBioscienceClone M1/70 (Cat. No. 15-0112-82)(1:100)RRID:AB_468714
AntibodyRat MonoclonalAnti-Human/Mouse CD45R (B220) PE-Cyanine5eBioscienceClone RA3-6B2 (Cat. No. 15-0452-82)(1:100)RRID:AB_468755
AntibodyRat Monoclonal ANTI-MOUSE CD4 PE-Cy5eBioscienceClone GK1.5 (Cat. No. 15-0041-82)(1:100)RRID:AB_469532
AntibodyRat Monoclonal Anti-Mouse CD8a PE-Cyanine5eBioscienceClone 53–6.7 (Cat. No. 15-0081-82)(1:100)RRID:AB_468706
AntibodyRat Monoclonal Anti-Mouse TER-119 PE-Cyanine5eBioscienceClone TER119 (Cat. No. 15-5921-82)(1:100)RRID:AB_468810
AntibodyRat monoclonal anti-mouse Sca-1 Pacific BlueBiolegendClone D7 (Cat. No. 108120)(1:100)RRID:AB_493273
AntibodyRat monoclonal anti-mouse Ly-6GBiolegendClone 1A8 (Cat. No. 127605)(1:100)RRID:AB_1236488
AntibodyMouse monoclonalAnti-Mouse CD45.1 PEBiolegendClone A20 (Cat. No.110707)(1:100)RRID:AB_313496
AntibodyRat Monoclonal anti-mouse CD117 (c-Kit) APC-eFluor 780eBioscienceClone 2B8 (CaT. No. 47-1171-82)(1:100)RRID:AB_1272177
AntibodyRat MonoclonalAnti-Mouse CD150 PECy7BiolegendClone TC15-12F12.2 (Cat. No. 115914)(1:100)RRID:AB_439797
AntibodyAmerican Hamster Monoclonal Anti-mouse CD48 APCeBioscienceClone HM48-1 (Cat. No. 17-0481-82)(1:100)RRID:AB_469408
AntibodyRat Monoclonal Anti-Mouse CD34 FITCeBioscienceClone RAM34 (11-0341-82)(1:50)RRID:AB_465021
AntibodyRat Monoclonal Anti-Mouse CD135 DyLight680NovusClone A2F10 (Cat. No. NBP1-43352FR)(1:50)RRID:AB_2904163
AntibodyRat Monoclonal Anti-Mouse CD16/32 BV605BDClone 2.4G2 (93) (Cat. No. 563006)(1:100)RRID:AB_2737947
AntibodyRat Monoclonal Anti Mouse CD41 BV480BDClone MWReg30 (Cat. No. 746554)(1:100)RRID:AB_2743844
AntibodyRat Monoclonal Anti-mouse Ly-6C APCBiolegendClone HK1.4 (Cat. No. 128016)(1:100)RRID:AB_1732076
AntibodyRat Monoclonal Anti-mouse CD244 PECy7eBioscienceClone eBio244F4 (Cat. No. 25-2441-82)(1:100)RRID:AB_2573432
AntibodyRat Monoclonal Anti-Mouse F4/80 Pacific BlueThermoFisherClone BM8 (Cat. No. MF48028)(1:100)RRID:AB_1500083
Chemical compound, drugPenicillin-StreptomycinInvitrogen(Cat. No. 15140122)
Chemical compound, drugHanks' Balanced Salt SolutionGibco/ThermofisherHBSS (Cat. No. 14170161)
Chemical compound, drugHEPES (1M)Gibco/ThermofisherCat. No. 15630080
Chemical compound, drugTamoxifenSigma(Cat. No. 10540-29-1)
Commercial assay or kitCD117 MicrobeadsMiltenyi-Biotec(Cat. No. 130-091-224)
Commercial assay or kitCD3e Microbead Kit, MouseMiltenyi-Biotec(Cat. No. 130-094-973)
Commercial assay or kitInvitrogen SuperScript IV First-Strand Synthesis SystemInvitrogen(Cat. No. 18091050)
Commercial assay or kitiTaq Universal SYBR Green Supermix; BioRadBio Rad(Cat. No. 172–5121)
Peptide, recombinant proteinRecombinant Mouse IL-2Biolegend(Cat. No. 575404)
Sequence-based reagentNucleoprotein (NP) Forward primerIDTNP F15'-GGGTGAGAATGGACGAAAAAC-3'
Sequence-based reagentNucleoprotein (NP) Reverse primerIDTNP R15'-GATCCATCATTGCTTTTTGTGCA-3'
Software, algorithmClustVisMetsalu and Vilo, 2015ClustVisRRID:SCR_017133
Strain, strain background (Mus musculus)KRT18-CreERT2: Rosa26-lox-STOP-lox-TdTomatoThis paperTamoxifen-inducible Cre system
Strain, strain background (Mus musculus)C57Bl/6JThe Jackson LaboratoryStrain #000664Wildtype mouse line – CD45.2RRID:IMSR_JAX:000664
Strain, strain background (Mus musculus)B6.SJL-Ptprca Pepcb/BoyJThe Jackson LaboratoryStrain #002014C57Bl/6J congenic strain - CD45.1RRID:IMSR_JAX:002014
Strain, strain background (Streptococcus pyogenes)Group A Streptococcusclinical isolateMGAS315, emm3 genotype, Serotype M3
Strain, strain background (Orthomyxoviridae, influenza virus A)Influenza A virusATCCPR8 H1N1
Commercial assay or kitCellTrace Violet Cell Proliferation Kit, for flow cytometryInvitrogen(Cat. No. C34571)

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  1. Daniel E Morales-Mantilla
  2. Bailee Kain
  3. Duy Le
  4. Anthony R Flores
  5. Silke Paust
  6. Katherine Y King
(2022)
Hematopoietic stem and progenitor cells improve survival from sepsis by boosting immunomodulatory cells
eLife 11:e74561.
https://doi.org/10.7554/eLife.74561