Transcriptome Analysis of Murine Macrophages in Response to Infection withStreptococcus pyogenesReveals an Unusual Activation Program

Abstract
The complex response of murine macrophages to infection withStreptococcus pyogeneswas investigated at the level of gene expression with a high-density oligomer microarray. More than 400 genes were identified as being differentially regulated. Many of the up-regulated genes encode molecules involved in the immune response and in inflammation, transcription, signaling, apoptosis, the cell cycle, electron transport, and cell adhesion. Of particular interest was the up-regulation of proinflammatory cytokines, typical of the classically activated macrophages (M1 phenotype), such as tumor necrosis factor alpha, interleukin 1 (IL-1), and IL-6, and as well as the up-regulation of anti-inflammatory mediators, such as IL-1 decoy receptor and IL-10, associated with alternative macrophage activation (M2 phenotype). Furthermore, the gene encoding inducible nitric oxide synthase (iNOS), an enzyme typically implicated in classical activation, was not induced in infected macrophages. Instead, the gene encoding arginase, a competitor for the iNOS substrate arginine involved in the alternative activation pathway, was up-regulated inS. pyogenes-infected cells. Thus, the microarray-based gene expression analysis demonstrated thatS. pyogenesinduces an atypical activation program in macrophages, with some but not all features of the classical or alternative activation phenotypes. The microarray data also suggested that the bactericidal activity of macrophages againstS. pyogenesis mediated by phagocyte oxidase, asp47phoxwas up-regulated in infected cells. Indeed, the in vivo and in vitro killing ofS. pyogeneswas markedly diminished in the absence of functional phagocyte (p47phox−/−) but not in the absence of iNOS (iNOS−/−). An understanding of how macrophages respond toS. pyogenesat the molecular level may facilitate the development of new therapeutic paradigms.