Generation and Characterization of a Dual-Reporter Transgenic Leishmania braziliensis Line Expressing eGFP and Luciferase

In this study, we generated a transgenic strain of Leishmania braziliensis, an etiological agent associated with a diversity of clinical manifestations of leishmaniasis ranging from localized cutaneous to mucocutaneous to disseminated disease. Transgenic parasites expressing reporter proteins are valuable tools for studies of parasite biology, host-pathogen interactions, and anti-parasitic drug development. To this end, we constructed an L. braziliensis line stably expressing the reporters eGFP and luciferase (eGFP-LUC L. braziliensis). The integration cassette co-expressing the two reporters was targeted to the ribosomal locus (SSU) of the parasite genome. Transgenic parasites were characterized for their infectivity and stability both in vitro and in vivo. Parasite maintenance in axenic long-term culture in the absence of selective drugs did not alter expression of the two reporters or infection of BALB/c mice, indicating stability of the integrated cassette. Infectivity of eGFP-LUC, L. braziliensis, both in vivo and in vitro was similar to that obtained with the parental wild type strain. The possibility of L. braziliensis tracking and quantification using fluorescence and luminescence broadens the scope of research involving this neglected species, despite its importance in terms of public health concerning the leishmaniasis burden.

Introduction

Leishmaniasis is a neglected tropical disease caused by the protozoan pathogen Leishmania spp. that is transmitted by sand flies. Nearly 1.3 million new cases occur each year (Burza et al., 2018) and 350 million people face risk of infection. The two most common forms of leishmaniasis are visceral leishmaniasis (VL) and cutaneous leishmaniasis (CL). In Brazil, Leishmania braziliensis is the leading cause of CL, which mostly manifests as localized lesions on the skin, but may also metastasize to mucosal sites (Bittencourt and Netto, 1995). Another common manifestation is disseminated leishmaniasis (Carvalho et al., 1994), which is characterized by the presence of large numbers of papular and acneiform ulcers affecting different parts of the body. In contrast to American Cutaneous Leishmaniasis, disseminated leishmaniasis is associated with impaired cellular immune responses, as documented by decreased CD4+ T cells and absent T cell responses to leishmania antigen (Carvalho et al., 1994). The latter form of leishmaniasis is growing in frequency in Brazil (Jirmanus et al., 2012).

The control of Leishmania infection relies on chemotherapy with pentavalent antimonials, miltefosine or amphotericin B, whose use is limited by significant toxicity and, in some cases, resistance (Vanaerschot et al., 2014; Ponte-Sucre et al., 2017). Since no vaccine is currently available, the identification of novel drug targets remains a priority in leishmaniasis research. To this end, reporter gene technology facilitates the high-content screening of new compounds, thereby accelerating drug discovery (Dube et al., 2009). To date, different reporter genes, such as green fluorescent protein (GFP) (Chan et al., 2003), eGFP (Mehta et al., 2008), firefly luciferase (Lang et al., 2005), and DsRed (Paape et al., 2008), have been introduced into Leishmania spp. via transgenesis. The resulting transgenic parasites have been successfully employed in drug screening, vaccine development and also in studies aimed at furthering the understanding of host-parasite interactions (Peters et al., 2008; Millington et al., 2010). Regarding the latter, the combined use of fluorescent transgenic parasites and fluorescent transgenic reporter mice can particularly contribute the understanding of the initial interactions between leishmania parasites and the various components of the skin microenviroment, for example Peters et al. (2008).

We have previously reported the development of a L. braziliensis transgenic line expressing both mCherry and luciferase (Novais et al., 2013). However, fluorescence expression in amastigotes was found to be lower than in promastigotes, limiting downstream applications of this parasite line. Therefore, we developed a transgenic L. braziliensis reporter line that stably co-expresses eGFP and luciferase (Luc), which was evaluated with respect to infectivity, both in vitro and in vivo. Here we show that this dual-reporter L. braziliensis transgenic line demonstrates promising potential for use in the study of host-parasite interactions as well as high-throughput drug screening assays. Thus, this parasite line could be very useful, especially considering that L. braziliensis is an important etiological agent of all tegumentary forms of leishmaniasis in Brazil.

Materials and Methods

Ethics Statements

Female BALB/c mice, 6–8 weeks of age, were obtained from IGM/FIOCRUZ animal facility where they were maintained under pathogen-free conditions. All animal work was conducted according to the Guidelines for Animal Experimentation of the Colégio Brasileiro de Experimentação Animal and of the Conselho Nacional de Controle de Experimentação Animal. The local Ethics Committee on Animal Care and Utilization (CEUA) approved all procedures involving animals (CEUA-012/2016-IGM/FIOCRUZ).

Parasite Culture

L. braziliensis promastigotes (MHOM/BR/01/BA788) (de Moura et al., 2005) were maintained in Medium 199 (Sigma-Aldrich) supplemented with 20% heat-inactivated fetal calf serum (FCS), Hepes (40 mM), Adenine (0.1 mM), Hemin (5 μg/ml), Biotin (1 μg/ml), and antibiotics (penicillin 100 IU/mL and streptomycin 100 μg/mL) (all from ThermoScientific) at 26°C. Prior to in vitro and in vivo infection assays, selected L. braziliensis transfectants were grown in Schneider‘s insect medium (Sigma-Aldrich) supplemented with 10 % FCS, 2 mM L-Glutamine, Penicillin 100 U/ml and Streptomycin 100 μl/ml (ThermoScientific).

Generation of a Transgenic Line of L. braziliensis Co-expressing eGFP and Luciferase

The genes encoding firefly luciferase or a leishmania sequence-optimized gene encoding eGFP were cloned into pIR1SAT, a genomic integrating vector that was kindly provided by Stephen M. Beverley of Washington University, St. Louis, MO, USA. The leishmania-optimized eGFP gene was amplified by PCR from pIR1SAT-eGFP, also kindly provided by S. M. Beverley, using primers to generate restriction enzyme-compatible sites. The firefly luciferase gene was cloned into the XbaI site, and the eGFP gene was cloned into the BglII site and used for bacterial transformation. After selecting single colonies on LB-Ampicillin plates, cloning was verified by restriction enzyme digestion, and sequencing across cloning sites. pIRSAT-LUC_eGFP was linearized with SwaI and purified using gel extraction kit (GE healthcare Life Sciences). For the transfection, wild type L. braziliensis promastigotes (log phase) were centrifuged, resuspended in Tb-BSF buffer (Schumann Burkard et al., 2011) at a density of 10⁸ cells/ml. Ten microgram of purified linear plasmid (50 μl) were mixed with 350 μl (ca. 4 × 10⁷ cells) in a pre-chilled 2-mm cuvette (BIO-RAD). Electroporation was performed as previously described (Kapler et al., 1990) using Genepulser (BIO-RAD). Electroporated cells were incubated in ice for exactly 10 min, transferred to 10 ml M199 medium and incubated for 24 h at 26°C. The transfected cells were then gently dispersed onto solid M199 plates (2% noble agar) supplemented with Nourseothricin (50 μg/ml) (Thermo) and incubated for 10–12 days at 26°C. Nine randomly picked colonies were cultured in 1 ml of M199 (Thermo) medium supplemented with Nourseothricin (50 μg/ml) for 2–3 days, and microscopically examined for growth and flagellar motility Genomic DNA was extracted (Qiagen) from two resulting clones and selected based on fluorescence intensity, using commercially available kits. An integration diagnostic PCR was performed using primers IntF (5′-ACG ATT AGA GAC ACA AAC GAA CAA-3′) and IntR (5′-ATA TAG AAT AAG CCT CCC CGA GTT-3′), specific for the nourseothricin gene resistance gene (SAT), present within the integration cassette and the ribosomal locus of L. braziliensis genome, respectively. PCR cycle conditions were as follows: 94°C for 2 min, 94°C for 30 s, 50°C for 30 s, 72°C for 90 s (for 35 cycles), 72°C for 5 min (1 cycle). The PCR product was separated on a 1% agarose gel, purified and cloned into a pGEM-T Easy vector, according to manufacturer's instructions (Promega). Positive clones were sequenced using vector specific T7 and SP6 primers and were examined for eGFP expression by fluorescence microscopy.

Luciferase Assay and eGFP Detection

Mid-log phase eGFP-LUC Lb promastigotes were washed twice with PBS assayed for Luciferase activity using ONE-Glo™ Luciferase Assay (Promega), according to manufacturer's instructions and as described elsewhere (Reimao et al., 2013). Luminescence was measured in a microplate reader (Molecular Devices). Experiments were performed in triplicate. eGFP expression was evaluated by flow cytometry, data (10,000 events) were acquired on a Fortessa flow cytometer (BD Biosciences) and analyzed using FlowJo (Tree Star Inc.). Wild type (WT) L. braziliensis was used as the negative control.

Animal Infection

BALB/c mice (n = 6) were inoculated with 10⁵ L. braziliensis expressing GFP and Luciferase (eGFP-LUC Lb) promastigotes, enriched for the presence of metacyclics as described elsewhere (da Silva et al., 2015). Parasites were inoculated into the left ear dermis in 10 μl PBS using a 27G needle. Lesion development was monitored weekly by measuring the thickness of the ear using a digital caliper (Thermo). Parasite loads were determined by limiting dilution analysis from samples obtained from the ear and draining lymph nodes, at weeks 6 and 10 post parasite inoculation, as described (Novais et al., 2013). Parasites recovered following in vivo passages were used in subsequent in vitro experiments.

Infection of Bone-Marrow Derived Macrophages With eGFP-LUC Lb

Macrophages (BMDM) were differentiated from mouse bone marrow as described (Weischenfeldt and Porse, 2008). Cells were resuspended in RPMI 1640 medium (SIGMA) supplemented with 100 U/ml penicillin, 100 μg/ml streptomycin and 10% FBS for seeding onto glass coverslips, each at 3 × 10⁵ cells/500 μl/coverslip in 24-well plates. After cell attachment, monolayers formed on the coverslips were washed to remove non-adherent cells and were cultured with 3 × 10⁶ eGFP-LUC Lb promastigotes (10:1 parasite/host cell) in supplemented RPMI at 37°C, 5% CO₂. After 6 and 24 h, coverslips with monolayers were extensively washed to remove non-internalized parasites, fixed and stained with hematoxylin and eosin. Parasite uptake was determined by microscopic counting of 200 macrophages, in quintuplicate, for the number of cells with and without Leishmania, and the total number of intracellular Leishmania. Fluorescent parasites observed in an inverted Leica DMi8 platform (Leica Microsystems).

Treatment of eGFP-LUC Lb-Infected BMDM With Amphotericin B

BMDM were infected with eGFP-LUC Lb promastigotes as described above. Infected cells were then treated with Amphotericin B (Sigma) (0.25 μg/ml) for 24 h. In some experiments, cells were cultured in polypropylene tubes and assayed for the percentage of eGFP-expressing macrophages by flow cytometry. Cells were resuspended in FACS buffer (PBS supplemented with 1% fetal bovine serum) and data (10,000 events) were acquired on a Fortessa flow cytometer (BD Biosciences) and analyzed using FlowJo (Tree Star Inc.). Alternatively, cells were resuspended in PBS and assayed for luciferase activity as described above. For each experiment, background luminescence was calculated using WT L. braziliensis-infected macrophages and control uninfected macrophages. Assays were performed in triplicate coverslips per experiment.

Statistical Analysis

Comparisons between two groups were performed by Mann-Whitney (non-parametric t-test). Analyses were conducted using Prism (GraphPad, V, 8.0) and a p ≤ 0.05 was considered significant.

Results

Generation of L. braziliensis Mutant Expressing eGFP and Luciferase

To generate a L. braziliensis line co-expressing eGFP and Luciferase (eGFP-LUC Lb), we employed a plasmid containing the eGFP and LUC genes, cloned into sites of pIR1-Sat that are flanked by 5′ and 3′SSU sequences of Leishmania spp. (Figures 1A,B). As such, integration of the eGFP and Luciferase cassettes into the SSU locus would be confirmed by generating the expected 2.0 Kb band (Figure 1C).

FIGURE 1

Figure 1. In silico construct of pIRSATeGFP_LUC. (A) Luciferase and eGFP genes cloned between the XbaI and BglII restriction sites, respectively. (B) Schematic representation of the SSU integration locus and the cassette for integration with eGFP and LUC ORF. (C) Schematic representation of the linear cassette for integration in the SSU rDNA locus. SSU, small subunit, DST IR, intergenic region of the DST gene, LUC, Luciferase, CYS2 IR, intergenic region of cysteine protease 2 gene, eGFP, enhanced GFP, LPG1R, intergenic region of the LPG1 gene, SAT, nourseothricine resistance gene, IR 1.7K, intergenic region of dihydrofolate reductase-thymidylate symthase locus. Position of the primers and size of amplified fragments are indicated by lines.

L. braziliensis promastigotes were transfected with the linearized plasmid containing the eGFP and LUC genes, cloned into sites of pIR1-Sat that are flanked by 5′ and 3′SSU sequences of Leishmania spp. (Figure 2A). After transfection, parasites were grown in an antibiotic-selective medium and nine independent clones were randomly selected and evaluated for eGFP expression by fluorescence microscopy. Two of these clones (clones #6 and #7) displayed a strong signal (Figure 2B). Proper integration of the eGFP and Luciferase cassettes into the SSU locus was confirmed by PCR of parasite genomic DNA, which yielded the expected 2.0 Kb band (Figure 2C). As an additional confirmation, the purified PCR amplicon was cloned into a p-GEMT vector and sequenced using vector-specific primers (Supplementary Figure 1). Clone #7 was chosen based on the strongest GFP signal. Genotypes of isolated colonies were verified using ITS-1 amplification followed by RFLP (Schonian et al., 2003) and yielded the expected 300 bp fragment and the 144 and 156 bp segments following restriction enzyme digestion (Figure 2D), as did wild-type (WT) L. braziliensis. Sequencing of the ITS-1 amplicon demonstrated high identity (97%) of eGFP-LUC and WT L. braziliensis (Lb) (Genebank Id- FN398335.1; MHOM/BR/2002/NMT-RBO018) (Supplementary Figure 2). These results demonstrate the successful integration of this dual-reporter system containing eGFP and Luc into the Lb genome.

FIGURE 2

Figure 2. Generation of the L. braziliensis co-expressing eGFP and LUC. (A) Agarose gel electrophoresis of pIRSATeGFP_LUC following SwaI digestion (lane 1), 1Kb marker (lane 2), Undigested circular plasmid (lane 3). (B) Fluorescent microscopy of transgenic L. braziliensis clones. (C) Agarose gel electrophoresis of PCR product amplified using primers complementary to the Nourseothricin resistance marker (SAT) present in the of integration cassette and complimentary to the rDNA locus of the L. braziliensis genome (outside the cassette), indicative of eGFP-LUC integration, SSU locus (18s gene). PCR was performed using genomic DNA purified from WT Lb (lane 1) or from transgenic Lb (clones 6 and 7) (lane 3 and 4, respectively). (D) Agarose gel electrophoresis of PCR product amplified using primers complimentary to the ITS-1 locus using genomic DNA purified from WT-Lb (lane 2) or eGFP-LUC Lb (transfected clone 7) (lane 3) (Left panel). HaeIII digestion of ITS-1 PCR product. WT-Lb (lane 2) or transgenic Lb (transfected clone 7) (lane 3) (right panel).

In vitro Detection of eGFP and Luciferase in eGFP-LUC Lb Promastigotes

As expected, eGFP-LUC Lb recovered from infected mice displayed GFP fluorescence by both microscopy (Figure 3A) and flow cytometry (Figure 3B). In parallel, luminescence of eGFP-LUC Lb was also confirmed by incubation with luciferin and a linear correlation between the number of promastigotes and light production (Figure 3C) was observed. Lastly, the in vitro growth rates of WT Lb and eGFP-LUC Lb promastigotes recovered from infected mice were similar (Figure 3D) indicating that the transgenic eGFP-LUC Lb line did not exhibit compromised parasite growth after in vivo experimentation.

FIGURE 3

Figure 3. Expression of eGFP and Luciferase in transgenic L. braziliensis. (A) Fluorescence microscopy of transgenic L. braziliensis (clone #7) promastigotes. (B) Representative histogram depicting eGFP in WT L. braziliensis (dotted line) and eGFP-LUC L. braziliensis (clone #7) (solid line), both shown as % of Max. Bar graph represents the MFI of WT and eGFP-LUC L. braziliensis. Data (mean ± SEM) are from a representative experiment. (C) Luminescence intensity and number of eGFP-LUC L. braziliensis promastigotes. Promastigotes were serially diluted and luminescence was measured using a microplate reader, after addition of luciferin. RLU, relative light units. (D) Growth curve of WT and eGFP-LUC L. braziliensis (clone #7). Parasites were cultures in supplemented Schneider medium and parasites numbers were determined daily using a hemocytometer. Data (mean ± SEM) are from a representative experiment, performed in quintuplicate. nd, not detected.

Course of Infection of eGFP-LUC Lb in BALB/c Mice

Following the demonstration of GFP expression by fluorescence microscopy and confirmation of integration of the dual reporter system (Figure 1), eGFP-LUC Lb promastigotes (clone #7) were serially passaged in vitro in the absence of selective drug pressure. We then evaluated the in vivo development of cutaneous lesions. Accordingly, BALB/c mice were inoculated in the ear dermis with eGFP-LUC Lb enriched metacyclics. Similarly to WT Lb, mice infected with eGFP-LUC Lb developed lesions that peaked at 5-6 weeks post-parasite inoculation (Figure 4A). Moreover, parasite load, determined by limiting dilution analysis, was similar comparing WT Lb vs. eGFP-LUC Lb, both at the inoculation site and at draining lymph nodes, at two different time points (Figure 4B). These data indicate that in vivo parasite growth in this transgenic cell line is similar to that reported for WT Lb. The eGFP-LUC Lb recovered from the draining lymph nodes of infected mice was further evaluated in vitro.

FIGURE 4

Figure 4. In vivo infectivity of transgenic L. braziliensis co-expressing eGFP and Luciferase. (A) BALB/c mice (n = 6) were infected with enriched metacyclics of WT or eGFP_LUC Lb (10⁵) and lesion development was measured weekly. (B) Parasite load was determined at the infection site and at the dLN by limiting dilution analysis. Data (mean ± SEM) are from a representative experiment, performed with 6 mice.

Infection of BMDM With eGFP-LUC Lb

We then assayed the infection rate of eGFP-LUC Lb in BMDM by optical microscopy and we observed similar percentages of infected cells and numbers of amastigotes, comparing the parental line and eGFP-LUC Lb (Figures 5A,B). Fluorescence microscopy confirmed the feasibility of employing eGFP-LUC Lb for the quantification of infected macrophages also suggested the possibility of using this cell line for determination of parasite load (Figure 5C). Therefore, in vitro and in vivo passages did not compromise the infectivity of eGFP-LUC Lb, compared to the expected outcomes reported for WT L. braziliensis.

FIGURE 5

Figure 5. In vitro infectivity of transgenic L. braziliensis co-expressing eGFP and Luciferase. Bone-marrow derived macrophages were infected with either WT or eGFP-LUC L. braziliensis (clone #7), for 4 h. Cells were processed for microscopy to assess the (A) percentage of infected cells and (B) the number of amastigotes per 200 macrophages Data (mean ± SEM) are from a representative experiment, performed in quintuplicate. (C) DIC, fluorescent (eGFP) and merged micrographs of macrophages infected with WT or eGFP-LUC L. braziliensis for 24 h.

Lastly, we probed for the feasibility of using eGFP-LUC Lb in drug screening assays. BMDM were infected with eGFP-LUC Lb and exposed to Amphotericin B. As expected, the percentage of eGFP-LUC Lb-infected macrophages (Figure 6A) and the number of intracellular amastigotes (Figure 6B) decreased significantly, as determined by optical microscopy and by flow cytometry, respectively. We also observed a significant decrease in luminescence levels following treatment of eGFP-LUC Lb-infected BMDM with Amphotericin B (Figure 6C). Collectively, these findings demonstrate that our dual-reporter eGFP-LUC Lb cell line can be employed in assays aimed at drug screening, for example, involving either fluorescence or luminescence.

FIGURE 6

Figure 6. Applicability of eGFP-LUC L. braziliensis for drug screening. Bone-marrow derived macrophages were infected with either WT or eGFP-LUC L. braziliensis (clone #7), for 24 h. Cells were treated with Amphotericin B and assayed by flow cytomery to determine (A) the percentage of infected cells. Infected cells were also stained with H&E and the number of amastigotes per 200 macrophages was determined by optical microscopy (B). Luminescence intensity of eGFP-LUC Lb-infected macrophages was measured using a microplate reader, after addition of luciferin (C). RLU, relative light units. Data (mean ± SEM) are from three experiments experiment, each performed in triplicate. * indicates statistically significant difference.

Discussion

For a number of years now, the use of transgenic protozoan parasites expressing reporter genes has proven valuable in understanding the biology of Leishmania spp. parasites as well as host-parasite interactions (Amino et al., 2007; Beattie et al., 2008; Di Cristina et al., 2008). In spite of the status of L. braziliensis as a neglected species, and considering that this species is largely responsible for most cases of CL, we sought to generate a transgenic dual-reporter line co-expressing eGFP and luciferase from a clinical isolate. The resulting transgenic line was then tested both in vitro and in vivo in a mouse model of CL.

We initially confirmed the stable integration of the eGFP-luciferase expression cassette in L. braziliensis transfectants. Although, this species has maintained its functional RNAi machinery (Lye et al., 2010), which may present a challenge to episomal expression of constructs, an integrated dual reporter cassette should provide a more robust an reliable tool for future studies. This successful integration of the reporter cassette within the constitutively expressed SSU locus allowed us to co-express both eGFP and luciferase reporters. Expression of both transgenes was stable after >10 serial passages in vitro and levels of both eGFP and luciferase also remained unaltered after parasites were recovered infected BALB/c mice. Importantly, ear thickness and parasite load in BALB/c mice inoculated with eGFP-LUC Lb were similar compared to those obtained after infection with the parental WT L. braziliensis (de Moura et al., 2005). These results indicate that our transgenic dual-reporter L. braziliensis line exhibits similar behavior as its parental strain in vivo, and did not lose virulence during in vitro manipulation.

We then confirmed that eGFP-LUC Lb parasite retained its infectiveness in BMDM: the percentage of infection and the number of intracellular amastigotes was similar compared to parental WT L. braziliensis. Numbers of amastigotes were similar when assessed by light or by fluorescence microscopy, indicating we were not detecting a subset of parasites expressing either reported. Treatment of eGFP-LUC Lb-infected BMDM with Amphotericin B significantly reduced infection, as detected by flow cytometry and by luminescence. These findings show that Lb infection can be effectively monitored using both of these reporters and opens the possibility of using this line for downstream studies aimed at drug screening. Although the presence of two reporters for drug screening in vitro is not mandatory, the presence of a bright fluorescence marker such as eGFP allows for more robust experiments involving parasite killing in monocytic cell lines or in primary macrophages using a multi-well-based fluorescence assay and, eventually, flow cytometry to probe for intracellular localization. As a next step, one can envisage in vivo imaging coupled to tissue localization as a read-out for parasite presence, for example. This would be particularly interesting for L. braziliensis which causes mucosal (Bacellar et al., 2002) and disseminated disease (Machado et al., 2019). To this date, it remains unknown how parasite disseminate from the primary lesion to secondary sites.

Luciferase does permit bioimaging with little background interference, its use requires luciferin substrate, thereby limiting applications (Dube et al., 2009). Bioluminescence, however, allows for the quantification of parasite burden in live animals, reducing and refining their use (Kirk, 2018). The possibility of imaging parasite presence is certainly a major advantage in the study of chronic parasitic diseases. Costa et al. developed a dual-reporter transgenic Trypanosoma cruzi line expressing chimeric luciferase fused to mNeonGreen (Costa et al., 2018). This particular line also incorporated CRISPR/Cas9 functionality, facilitating parallel genome editing approaches. The ability to visualize interactions and track infection using transgenic parasite lines enables researchers to address key questions in parasite biology, such as differentiation and transmission. Bastos et al. reported on the construction of a L. braziliensis line expressing eGFP (Bastos et al., 2017), using a WHO reference strain (MHOM/BR/75/M2904) and pLEXSY for generation of the transgenic. Similar to our results, authors demonstrated that the line constitutively expresses eGFP after serial passages in vitro and remained susceptible to Amphotericin B treatment following macrophage infection. Coelho et al. developed a transgenic L. braziliensis line expressing luciferase which was validated in mice as a tool to monitor treatment with Miltefosine (Coelho et al., 2016). This was also developed based on a field isolate (MHOM/BR/94/H3227); however, authors observed a low sensitivity, making the in vivo detection of low parasite burdens difficult. We build on these currently available tools by developing a dual reporter-expressing L. braziliensis. Besides the advantage of having two stable reporters, this line was developed upon a field isolate (de Moura et al., 2005) that has been widely employed in a variety of studies addressing the pathogenesis of CL caused by L. braziliensis (Novais et al., 2013, 2017), in addition to drug (Santos et al., 2014; Celes et al., 2016) and vaccine development (Salay et al., 2007; Thalhofer et al., 2011; Carneiro et al., 2012).

The possibility of in vivo imaging using eGFP-LUC Lb line shall contribute to the study of the pathogenesis of CL caused by L. braziliensis, as this dual-reporter system enables parasite imaging in vivo, in different tissues and host cells, as demonstrated by other authors in L. infantum (Thalhofer et al., 2011; Reimao et al., 2015; Alvarez-Velilla et al., 2019) and L. amazonensis (Reimao et al., 2013). Besides studies focused on screening for novel drugs, those aimed at elucidating the dynamics of mucosal tropism, a hallmark of L. braziliensis, or parasite persistence in selected sites (Mandell and Beverley, 2017) should also benefit from this tool.

Data Availability Statement

All datasets generated for this study are included in the article/Supplementary Material.

Ethics Statement

The animal study was reviewed and approved by CEUA IGM-FIOCRUZ.

Author Contributions

RS, PS-M, VF, FR, LO, FC, and SV performed experiments and analyzed data. RS, MW, and CO drafted the manuscript. MW and CO contributed reagents. RS and CO designed experiments.

Funding

RS, PS-M, VF, FR, FC, and SV were financed by the Coordenação de Aperfeiçoamento de pessoal de Nível Superior—Brasil (CAPES)—Finance Code 001. LO was financed by a CNPq fellowship (Iniciação Científica). CO was a senior investigator from CNPq. This work was funded in part by FIOCRUZ, and by US National Institutes of Health grants R01 AI045540 and R01 AI076233 (MW), and by Department of Veterans' Affairs Merit Review Grants BX001983, BX000536 (MW).

Conflict of Interest

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.

Supplementary Material

The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fcimb.2019.00468/full#supplementary-material

References

Alvarez-Velilla, R., Gutierrez-Corbo, M. D. C., Punzon, C., Perez-Pertejo, M. Y., Balana-Fouce, R., Fresno, M., et al. (2019). A chronic bioluminescent model of experimental visceral leishmaniasis for accelerating drug discovery. PLoS Negl. Trop. Dis. 13:e0007133. doi: 10.1371/journal.pntd.0007133

PubMed Abstract | CrossRef Full Text | Google Scholar

Amino, R., Thiberge, S., Blazquez, S., Baldacci, P., Renaud, O., Shorte, S., et al. (2007). Imaging malaria sporozoites in the dermis of the mammalian host. Nat. Protoc. 2, 1705–1712. doi: 10.1038/nprot.2007.120

PubMed Abstract | CrossRef Full Text | Google Scholar

Bacellar, O., Lessa, H., Schriefer, A., Machado, P., Ribeiro de Jesus, A., Dutra, W. O., et al. (2002). Up-regulation of Th1-type responses in mucosal leishmaniasis patients. Infect Immun. 70:6734–6740. doi: 10.1128/IAI.70.12.6734-6740.2002

PubMed Abstract | CrossRef Full Text | Google Scholar

Bastos, M. S., Souza, L. A., Onofre, T. S., Silva, A. J., Almeida, M. R., Bressan, G. C., et al. (2017). Achievement of constitutive fluorescent pLEXSY-egfp Leishmania braziliensis and its application as an alternative method for drug screening in vitro. Mem. Inst. Oswaldo Cruz. 112, 155–159. doi: 10.1590/0074-02760160237

PubMed Abstract | CrossRef Full Text | Google Scholar

Beattie, L., Evans, K. J., Kaye, P. M., and Smith, D. F. (2008). Transgenic Leishmania and the immune response to infection. Parasite Immunol. 30, 255–266. doi: 10.1111/j.1365-3024.2008.01020.x

PubMed Abstract | CrossRef Full Text | Google Scholar

Bittencourt, A. L., and Netto, M. B. (1995). “Leishmaniasis”, in Tropical Pathology, 2nd Edn., eds W. Doerr, G. Seifert (Berlim: Springer Verlag), 597–651. doi: 10.1007/978-3-642-57863-2_14

CrossRef Full Text | Google Scholar

Burza, S., Croft, S. L., and Boelaert, M. (2018). Leishmaniasis. Lancet 392, 951–970. doi: 10.1016/S0140-6736(18)31204-2

PubMed Abstract | CrossRef Full Text | Google Scholar

Carneiro, M. W., Santos, D. M., Fukutani, K. F., Clarencio, J., Miranda, J. C., Brodskyn, C., et al. (2012). Vaccination with L. infantum chagasi nucleosomal histones confers protection against new world cutaneous leishmaniasis caused by Leishmania braziliensis. PLoS ONE 7:e52296. doi: 10.1371/journal.pone.0052296

PubMed Abstract | CrossRef Full Text | Google Scholar

Carvalho, E. M., Barral, A., Costa, J. M., Bittencourt, A., and Marsden, P. (1994). Clinical and immunopathological aspects of disseminated cutaneous leishmaniasis. Acta Trop. 56, 315–325. doi: 10.1016/0001-706X(94)90103-1

PubMed Abstract | CrossRef Full Text | Google Scholar

Celes, F. S., Trovatti, E., Khouri, R., Van Weyenbergh, J., Ribeiro, S. J., Borges, V. M., et al. (2016). DETC-based bacterial cellulose bio-curatives for topical treatment of cutaneous leishmaniasis. Sci. Rep. 6:38330. doi: 10.1038/srep38330

PubMed Abstract | CrossRef Full Text | Google Scholar

Chan, M. M., Bulinski, J. C., Chang, K. P., and Fong, D. (2003). A microplate assay for Leishmania amazonensis promastigotes expressing multimeric green fluorescent protein. Parasitol Res. 89, 266–271. doi: 10.1007/s00436-002-0706-4

PubMed Abstract | CrossRef Full Text | Google Scholar

Coelho, A. C., Oliveira, J. C., Espada, C. R., Reimao, J. Q., Trinconi, C. T., and Uliana, S. R. (2016). A luciferase-expressing Leishmania braziliensis line that leads to sustained skin lesions in BALB/c mice and allows monitoring of miltefosine treatment outcome. PLoS Negl. Trop. Dis. 10:e0004660. doi: 10.1371/journal.pntd.0004660

PubMed Abstract | CrossRef Full Text | Google Scholar

Costa, F. C., Francisco, A. F., Jayawardhana, S., Calderano, S. G., Lewis, M. D., Olmo, F., et al. (2018). Expanding the toolbox for Trypanosoma cruzi: a parasite line incorporating a bioluminescence-fluorescence dual reporter and streamlined CRISPR/Cas9 functionality for rapid in vivo localisation and phenotyping. PLoS Negl. Trop. Dis. 12:e0006388. doi: 10.1371/journal.pntd.0006388

PubMed Abstract | CrossRef Full Text | Google Scholar

da Silva, I. A. Jr., Morato, C. I., Quixabeira, V. B., Pereira, L. I., Dorta, M. L., de Oliveira, M. A., et al. (2015). In vitro metacyclogenesis of Leishmania (Viannia) braziliensis and Leishmania (Leishmania) amazonensis clinical field isolates, as evaluated by morphology, complement resistance, and infectivity to human macrophages. Biomed. Res. Int. 2015:393049. doi: 10.1155/2015/393049

PubMed Abstract | CrossRef Full Text | Google Scholar

de Moura, T. R., Novais, F. O., Oliveira, F., Clarencio, J., Noronha, A., Barral, A., et al. (2005). Toward a novel experimental model of infection to study American cutaneous leishmaniasis caused by Leishmania braziliensis. Infect Immun. 73, 5827–5834. doi: 10.1128/IAI.73.9.5827-5834.2005

PubMed Abstract | CrossRef Full Text | Google Scholar

Di Cristina, M., Marocco, D., Galizi, R., Proietti, C., Spaccapelo, R., and Crisanti, A. (2008). Temporal and spatial distribution of Toxoplasma gondii differentiation into Bradyzoites and tissue cyst formation in vivo. Infect Immun. 76, 3491–3501. doi: 10.1128/IAI.00254-08

PubMed Abstract | CrossRef Full Text | Google Scholar

Dube, A., Gupta, R., and Singh, N. (2009). Reporter genes facilitating discovery of drugs targeting protozoan parasites. Trends Parasitol. 25, 432–439. doi: 10.1016/j.pt.2009.06.006

PubMed Abstract | CrossRef Full Text | Google Scholar

Jirmanus, L., Glesby, M. J., Guimaraes, L. H., Lago, E., Rosa, M. E., Machado, P. R., et al. (2012). Epidemiological and clinical changes in American tegumentary leishmaniasis in an area of Leishmania (Viannia) braziliensis transmission over a 20-year period. Am. J. Trop. Med. Hyg. 86, 426–433. doi: 10.4269/ajtmh.2012.11-0378

PubMed Abstract | CrossRef Full Text | Google Scholar

Kapler, G. M., Coburn, C. M., and Beverley, S. M. (1990). Stable transfection of the human parasite Leishmania major delineates a 30-kilobase region sufficient for extrachromosomal replication and expression. Mol. Cell Biol. 10, 1084–1094. doi: 10.1128/MCB.10.3.1084

PubMed Abstract | CrossRef Full Text | Google Scholar

Kirk, R. G. W. (2018). Recovering the principles of humane experimental technique: the 3Rs and the human essence of animal research. Sci. Technol. Human Values 43, 622–648. doi: 10.1177/0162243917726579

PubMed Abstract | CrossRef Full Text | Google Scholar

Lang, T., Goyard, S., Lebastard, M., and Milon, G. (2005). Bioluminescent Leishmania expressing luciferase for rapid and high throughput screening of drugs acting on amastigote-harbouring macrophages and for quantitative real-time monitoring of parasitism features in living mice. Cell Microbiol. 7, 383–392. doi: 10.1111/j.1462-5822.2004.00468.x

PubMed Abstract | CrossRef Full Text | Google Scholar

Lye, L. F., Owens, K., Shi, H., Murta, S. M., Vieira, A. C., Turco, S. J., et al. (2010). Retention and loss of RNA interference pathways in trypanosomatid protozoans. PLoS Pathog. 6:e1001161. doi: 10.1371/journal.ppat.1001161

PubMed Abstract | CrossRef Full Text | Google Scholar

Machado, G. U., Prates, F. V., and Machado, P. R. L. (2019). Disseminated leishmaniasis: clinical, pathogenic, and therapeutic aspects. An Bras Dermatol. 94, 9–16. doi: 10.1590/abd1806-4841.20198775

PubMed Abstract | CrossRef Full Text | Google Scholar

Mandell, M. A., and Beverley, S. M. (2017). Continual renewal and replication of persistent Leishmania major parasites in concomitantly immune hosts. Proc Natl Acad Sci U.S.A. 114, E801–E10. doi: 10.1073/pnas.1619265114

PubMed Abstract | CrossRef Full Text | Google Scholar

Mehta, S. R., Huang, R., Yang, M., Zhang, X. Q., Kolli, B., Chang, K. P., et al. (2008). Real-time in vivo green fluorescent protein imaging of a murine leishmaniasis model as a new tool for Leishmania vaccine and drug discovery. Clin Vaccine Immunol. 15:1764–1770. doi: 10.1128/CVI.00270-08

PubMed Abstract | CrossRef Full Text | Google Scholar

Millington, O. R., Myburgh, E., Mottram, J. C., and Alexander, J. (2010). Imaging of the host/parasite interplay in cutaneous leishmaniasis. Exp. Parasitol. 126, 310–317. doi: 10.1016/j.exppara.2010.05.014

PubMed Abstract | CrossRef Full Text | Google Scholar

Novais, F. O., Carvalho, A. M., Clark, M. L., Carvalho, L. P., Beiting, D. P., Brodsky, I. E., et al. (2017). CD8+ T cell cytotoxicity mediates pathology in the skin by inflammasome activation and IL-1beta production. PLoS Pathog. 13:e1006196. doi: 10.1371/journal.ppat.1006196

PubMed Abstract | CrossRef Full Text | Google Scholar

Novais, F. O., Carvalho, L. P., Graff, J. W., Beiting, D. P., Ruthel, G., Roos, D. S., et al. (2013). Cytotoxic T cells mediate pathology and metastasis in cutaneous leishmaniasis. PLoS Pathog. 9:e1003504. doi: 10.1371/journal.ppat.1003504

PubMed Abstract | CrossRef Full Text | Google Scholar

Paape, D., Lippuner, C., Schmid, M., Ackermann, R., Barrios-Llerena, M. E., Zimny-Arndt, U., et al. (2008). Transgenic, fluorescent Leishmania mexicana allow direct analysis of the proteome of intracellular amastigotes. Mol. Cell Proteomics. 7, 1688–1701. doi: 10.1074/mcp.M700343-MCP200

PubMed Abstract | CrossRef Full Text | Google Scholar

Peters, N. C., Egen, J. G., Secundino, N., Debrabant, A., Kimblin, N., Kamhawi, S., et al. (2008). In vivo imaging reveals an essential role for neutrophils in leishmaniasis transmitted by sand flies. Science 321, 970–974. doi: 10.1126/science.1159194

PubMed Abstract | CrossRef Full Text | Google Scholar

Ponte-Sucre, A., Gamarro, F., Dujardin, J. C., Barrett, M. P., Lopez-Velez, R., Garcia-Hernandez, R., et al. (2017). Drug resistance and treatment failure in leishmaniasis: a 21st century challenge. PLoS Negl. Trop. Dis. 11:e0006052. doi: 10.1371/journal.pntd.0006052

PubMed Abstract | CrossRef Full Text | Google Scholar

Reimao, J. Q., Oliveira, J. C., Trinconi, C. T., Cotrim, P. C., Coelho, A. C., and Uliana, S. R. (2015). Generation of luciferase-expressing Leishmania infantum chagasi and assessment of miltefosine efficacy in infected hamsters through bioimaging. PLoS Negl. Trop. Dis. 9:e0003556. doi: 10.1371/journal.pntd.0003556

PubMed Abstract | CrossRef Full Text | Google Scholar

Reimao, J. Q., Trinconi, C. T., Yokoyama-Yasunaka, J. K., Miguel, D. C., Kalil, S. P., and Uliana, S. R. (2013). Parasite burden in Leishmania (Leishmania) amazonensis-infected mice: validation of luciferase as a quantitative tool. J. Microbiol. Methods 93, 95–101. doi: 10.1016/j.mimet.2013.02.007

PubMed Abstract | CrossRef Full Text | Google Scholar

Salay, G., Dorta, M. L., Santos, N. M., Mortara, R. A., Brodskyn, C., Oliveira, C. I., et al. (2007). Testing of four Leishmania vaccine candidates in a mouse model of infection with Leishmania (Viannia) braziliensis, the main causative agent of cutaneous leishmaniasis in the New World. Clin. Vaccine Immunol. 14, 1173–1181. doi: 10.1128/CVI.00060-07

PubMed Abstract | CrossRef Full Text | Google Scholar

Santos, D. M., Petersen, A. L., Celes, F. S., Borges, V. M., Veras, P. S., and de Oliveira, C. I. (2014). Chemotherapeutic potential of 17-AAG against cutaneous leishmaniasis caused by leishmania (Viannia) braziliensis. PLoS Negl. Trop. Dis. 8:e3275. doi: 10.1371/journal.pntd.0003275

PubMed Abstract | CrossRef Full Text | Google Scholar

Schonian, G., Nasereddin, A., Dinse, N., Schweynoch, C., Schallig, H. D., Presber, W., et al. (2003). PCR diagnosis and characterization of Leishmania in local and imported clinical samples. Diagn. Microbiol. Infect Dis. 47, 349–358. doi: 10.1016/S0732-8893(03)00093-2

PubMed Abstract | CrossRef Full Text | Google Scholar

Schumann Burkard, G., Jutzi, P., and Roditi, I. (2011). Genome-wide RNAi screens in bloodstream form trypanosomes identify drug transporters. Mol. Biochem. Parasitol. 175, 91–94. doi: 10.1016/j.molbiopara.2010.09.002

PubMed Abstract | CrossRef Full Text | Google Scholar

Thalhofer, C. J., Chen, Y., Sudan, B., Love-Homan, L., and Wilson, M. E. (2011). Leukocytes infiltrate the skin and draining lymph nodes in response to the protozoan Leishmania infantum chagasi. Infect Immun. 79, 108–117. doi: 10.1128/IAI.00338-10

PubMed Abstract | CrossRef Full Text | Google Scholar

Vanaerschot, M., Dumetz, F., Roy, S., Ponte-Sucre, A., Arevalo, J., and Dujardin, J. C. (2014). Treatment failure in leishmaniasis: drug-resistance or another (epi-) phenotype? Expert Rev. Anti. Infect Ther. 12, 937–946. doi: 10.1586/14787210.2014.916614

PubMed Abstract | CrossRef Full Text | Google Scholar

Weischenfeldt, J., and Porse, B. (2008). Bone marrow-derived macrophages (BMM): isolation and applications. CSH Protoc. 2008:pdb.prot5080. doi: 10.1101/pdb.prot5080

PubMed Abstract | CrossRef Full Text | Google Scholar