The immune response to Haemophilus ducreyi is mediated in part by T cells infiltrating the site of infection. In this study, we show that H. ducreyi antigen preparations inhibited the proliferation of peripheral blood mononuclear cells and primary human T-cell lines. H. ducreyi also inhibited Jurkat T-cell proliferation and induced apoptosis of Jurkat T cells, confirmed through the detection of DNA degradation and membrane unpacking. The cytotoxic product(s) was present in cell-free culture supernatant and whole-cell preparations of H. ducreyi and was heat labile. H. ducreyi produces two known heat-labile toxins, a hemolysin and a cytolethal distending toxin (CDT). Whole cells and supernatants prepared from a hemolysin-deficient mutant had the same inhibitory and apoptotic effects on Jurkat T cells as did its isogenic parent. Preparations made from anH. ducreyi cdtC mutant were less toxic and induced less apoptosis than the parent. The toxic activity of the cdtC mutant was restored by complementation in trans. CdtC-neutralizing antibodies also inhibited H. ducreyiinduced toxicity and apoptosis. The data suggest that CDT may interfere with T-cell responses to H. ducreyi by induction of apoptosis.
MATERIALS AND METHODSBacterial strains and culture conditions. Actinobacillus actinomycetemcomitans (ATCC 29522) was kindly provided by Dominique Galli of the Indiana University School of Dentistry. Haemophilus parahaemolyticus (ATCC 10014), Haemophilus paraphrohaemolyticus (ATCC 29237), Haemophilus parainfluenzae (ATCC 33392), and Haemophilus parainfluenzae (paraphrophilus) (ATCC 29242) were purchased from the American Type Culture Collection, Manassas, Va. Nontypeable Haemophilus influenzae 1479 and H. ducreyi 35000HP (HP stands for human passaged) and its isogenic hemolysin mutant, 35000HP-RSM1, were described previously (4,32,45). H. ducreyi 35000 and its isogenic cdtC mutant, designated 35000.303, were described previously (48). The cdtC mutant complemented with the cdtC gene in trans was designated 35000.303(pJL300-C), while the cdtC mutant transformed with the vector alone was designated 35000.303 (pLS88), as described previously (48).Bacterial strains were maintained on chocolate agar plates or grown in brain heart infusion broth containing 50 g of hemin per ml, 1% IsoVitaleX, and 5%