The antiphagocytic capsule of Bacillus anthracis is a major virulence factor. We hypothesized that it may also mediate virulence through inhibition of the host's immune responses. During an infection, the capsule exists attached to the bacterial surface but also free in the host tissues. We sought to examine the impact of free capsule by assessing its effects on human monocytes and immature dendritic cells (iDCs). Human monocytes were differentiated into iDCs by interleukin-4 (IL-4) and granulocyte-macrophage colony-stimulating factor (GM-CSF) over 7 days in the presence of capsule derived from wild-type encapsulated B. anthracis Ames (WT) or a control preparation from an isogenic B. anthracis Ames strain that produces only 2% of the capsule of the WT (capA mutant). WT capsule consistently induced release of IL-8 and IL-6 while the capA mutant control preparation elicited either no response or only a minimal release of IL-8. iDCs that were differentiated in the presence of WT capsule had increased side scatter (SSC), a measure of cellular complexity, when assessed by flow cytometry. iDCs differentiated in the presence of WT capsule also matured less well in response to subsequent B. anthracis peptidoglycan (Ba PGN) exposure, with reduced upregulation of the chemokine receptor CCR7, reduced CCR7-dependent chemotaxis, and reduced release of certain cytokines. Exposure of naive differentiated control iDCs to WT capsule did not alter cell surface marker expression but did elicit IL-8.
These results indicate that free capsule may contribute to the pathogenesis of anthrax by suppressing the responses of immune cells and interfering with the maturation of iDCs.
Bacillus anthracis is the causative agent of anthrax and an important biothreat agent. The virulence of B. anthracis derives primarily from the products of two plasmids, pX01, which carries the genes for lethal toxin and edema toxin (1), and pX02, which carries the genes required for synthesizing capsule (2, 3). B. anthracis capsule covers the outer surface of the bacilli and protects them from phagocytosis by immune cells (4-6). While most bacterial capsules are polysaccharides, B. anthracis capsule is a homopolymer composed entirely of D-glutamic acid residues connected by ␥ linkages (7). These unusual attributes make B. anthracis capsule both relatively resistant to degradation by mammalian proteases and a poorly immunogenic thymus-independent type 2 antigen (8, 9).In in vitro broth culture and during infection, B. anthracis bacilli release capsule fragments. These free capsule fragments can accumulate to significant concentrations in the blood of moribund animals (7). Serum concentrations of B. anthracis capsule greater than 500 g/ml have been reported in mice (10), and concentrations greater than 1 mg/ml have been reported in rhesus macaques (11). Concentrations in local lesions could potentially be as high or even higher. Capsule free from the bacillus has been demonstrated to accumulate in animal tissues (12, 13). Early experiments with capsule recovered ...