This is the first study that describes the kinetics of the B. besnoiti lytic cycle, in order to obtain a standardised in vitro model for the tachyzoite stage. B. besnoiti tachyzoites have been successfully propagated in vitro similarly to the closely related T. gondii and N. caninum (reviewed in [48]). Furthermore, B. besnoiti tachyzoite cultures have been used to assess the effects of a limited number of potentially interesting compound classes such as thiazolides and arylimidamines [22, 23] and to determine whether these compounds act against invasion and/or proliferation of B. besnoiti tachyzoites. However, the B. besnoiti lytic cycle has not been characterised in depth, which is crucial to understand the pathogenesis of this parasitic infection. The currently available data suggest that a large part of the pathogenesis of the acute stage of besnoitiosis is due to repeated host cell invasion and lysis, which leads to the destruction of vascular endothelial cells [49]. These events, combined with a potential direct toxic effect mediated by the parasite, and associated immunopathology, may lead to vascular lesions and increased vascular permeability (reviewed in [21]).
In this study, we have covered seven distinct B. besnoiti isolates originating from six different countries, which represent a good part of the isolates available from Europe and Israel.
Until now 15 attempts to grow B. besnoiti have been reported (reviewed in [21]). However, only a few studies have assessed the suitability of different mammalian primary cell cultures and permanent cell lines for the isolation and propagation of both B. besnoiti and B. tarandi species [8, 41, 50–52]. However, data reported in these studies did not allow to identify a preferred cell type. Apart from variations in the protocols employed, parasite growth may also vary in different cell lines depending on the parasite stage (tachyzoites versus bradyzoites) inoculated in the cell cultures [41]. Thus, we decided to study the in vitro characteristics of tachyzoites of Besnoitia spp. isolates in MARC-145 cells. This cell line was successfully used to isolate B. besnoiti from affected cows [39]; this study and allowed long-term cultivation of different Besnoitia species [39, 41]; this study. Furthermore, MARC-145 cells were used to assess the in vitro characteristics of different N. caninum isolates [25, 36]. Importantly, the invasion efficiencies and growth rates of the different N. caninum isolates in MARC-145 cells were positively correlated with the virulence of these isolates in mice [25]. This supports the notion that in vitro cultures represent adequate models to study characteristics of apicomplexan parasites. However, prolonged in vitro culture may alter the features, and most notably the virulence, of isolates, as has been shown for N. caninum and for T. gondii [53, 54]. Ideally, isolates with limited number of passages after their original isolation should be used for characterisation, and this was the case for Bb-Spain1, Bb-Spain2, Bb-Italy2 and B. tarandi in this study. Alternatively, isolates can be passaged through an animal host to overcome the effects of culture adaptation [25]. This approach has been used for Bb-Ger1 and Bb-Evora03, both of which were passaged through interferon-gamma knockout (KO) mice that rapidly succumb to the acute infection [6, 8, 41]. Unfortunately, this was not possible for Bb-Israel and Bb-France. However, the passage number of the Bb-France isolate used in this study was low (20 passages in Vero cells) since this isolate was obtained only in 2013 [55]. In order to overcome this bias of differential adaptation to culture in different cell types, all isolates used here were passaged through the same cell type, namely HFF, prior to the detailed characterization of the lytic cycle in MARC-145 cells.
Regarding the data analysis, the use of mixed-models in parasitological studies is recommended [56]. Such models allow controlling for pseudo-replication where data are grouped, for instance when multiple measurements are taken on the same individual, but also controlling for inevitable variances between repetitions of the same experiment, as applies to this study.
The classical sequential steps of the lytic cycle, such as adhesion-invasion, intracellular proliferation and egress, all of which were previously described for N. caninum and T. gondii, are also present in Besnoitia spp. However, some key parameters of the lytic cycle of Besnoitia sp. are clearly distinct from those of T. gondii and N. caninum. The most striking differences were observed in the IRs of Besnoitia sp. as compared with e.g. N. caninum: a 5-times higher multiplicity of infection (MOI) in both the proliferation and the invasion assays had to be used for Besnoitia compared to similar experiments with N. caninum [36]. The values for IRs (5–22 % of tachyzoites led to invasion outcomes) were lower compared to N. caninum that had displayed invasion rates of 20–90 % [36] as assessed by the same approach of counting formed vacuoles per added tachyzoites. Besnoitia spp. isolates also required more time to invade their host cells compared to N. caninum [25, 36]. At 6 h p.i., B. besnoiti isolates had completed only 50 % of all invasion events, whereas at this time point N. caninum invasion had already reached a plateau (100 %) [25, 36, 57, 58]. A reason for this could be the restricted time of survival in an extracellular environment of N. caninum that loses infectivity rapidly within a few hours [58]. For T. gondii invasion has been shown to be even more efficient, with 75–80 % of tachyzoites invading their host cells within 30 min p.i. [58]. It should be taken into account that isolates can exhibit a limited invasion and proliferation capacity depending on the host cell type [59]. Indeed, the target cells of Besnoitia during natural infection are endothelial cells during the acute phase, and fibroblast and myofibroblasts during the chronic phase of the infection [15, 49]. Accordingly, it would be expected that low invasion rates were correlated with a short extracellular survival period. However, our study clearly showed that Besnoitia spp. isolates were capable to actively invade MARC-145 cells during a time-span of up to 24 h, which indicates that extracellular Besnoitia tachyzoites can survive and retain their infectivity for extended periods of time. This is in stark contrast to N. caninum and T. gondii, which invade their host cells within minutes. N. caninum tachyzoites loose the capacity to infect their host cells within 2–6 h of extracellular maintenance [25, 57]. Extended extracellular survival of Besnoitia spp. tachyzoites might be favourable for mechanical transmission by vectors and in particular tabanids. Experiments investigating survival of B. besnoiti in blood sucking insects reported survival of less than 1 h in Stomoxys calcitrans, less than 3 h in tsetse flies, and less than 24 h in tabanids (reviewed in [1]).
Following host cell invasion, proliferation of intracellular tachyzoites is initiated. The proliferation assays carried out in this study showed that there is a lag phase of approximately 24 h for Bb-Spain1 (data not shown), and Bb-Italy2 exhibited a lag phase of 48 h. For different N. caninum isolates, lag phases of 8–44 h [25, 36], and for the N. caninum Nc-1 isolate and T. gondii lag phases of 10–12 and 8–10 h have been reported, respectively [60]. Moreover, B. besnoiti isolates exhibit a rather extended dT (17.9–35.2 h depending on the isolate). For N. caninum isolates, dTs of 9.8–14.1 h [25], and 14–15 h (Nc-1; [60]) were reported. For the T. gondii RH strain, an even shorter dT of 8–10 h has been observed [60]. After the lag phase, logistic growth has been described for T. gondii and N. caninum [60]. Over a period of 144 h, three isolates of B. besnoiti also exhibited logistic growth, whereas the other five isolates showed an exponential growth pattern. Exponential growth was also observed by Regidor-Cerillo et al. [25] in different N. caninum isolates over a time span of 68 h. However, in this study the observation phase has been 144 h and represented two lytic cycles for most of our isolates; when only the first 72 h are evaluated (e.g. one lytic cycle), all Besnoitia isolates also followed an exponential growth pattern.
The significant differences between the isolates in both invasion and proliferation parameters observed in this study suggest that there is a considerable degree of intra-species variability in B. besnoiti. Based on the IRs, isolates can be grouped into high invaders (Bb-France, Bb-Evora03 and Bb-Israel), medium invaders (Bb-Ger1) and low invaders (Bb-Spain1, B. tarandi, Bb-Spain2 and Bb-Italy2). IRs in Besnoitia species appeared to be influenced by invasion velocity as shown by the finding that those invading cells with high velocity also exhibited increased IRs. Interestingly, high IR isolates also showed a prolonged extracellular survival evidenced by higher invasion rates observed at 24 hpi compared to 4 and 6 hpi and, consequently, a higher half time of invasion. Thus, a long invasion period, combined with increased invasion velocity, finally led to highest IRs, whereas those isolates that had a short invasion period, e.g. Bb-Spain1 and B. tarandi, did not show a high overall IR.
Another intra-species classification can be carried out when assessing the results of the proliferation assays: according to the tachyzoite yield measured at 72 h p.i., Besnoitia isolates can be grouped into three categories: high prolific (Bb-Israel and B. tarandi), medium prolific (Bb-Ger1 and Bb-France) and low prolific isolates (Bb-Italy2, Bb-Spain1, Bb-Evora03 and Bb-Spain2). The differences observed among isolates increased after two lytic cycles (at 144 hpi). Isolates displayed two different growth patterns (logistic or exponential) although these were not associated to a prolific category.
Another interesting finding obtained after 72 h of culture of infected cells was the simultaneous presence of small vacuoles, large vacuoles and lysis plaques as evidenced by immunofluorescence. Based on the assumption that small vacuoles transform into large vacuoles and eventually into lysis plaques during the lytic cycle, it is conceivable that those isolates producing predominantly lysis plaques would have a more rapid lytic cycle than isolates displaying predominantly large vacuoles or even small vacuoles at the same time point. This indicates that, in comparison to T. gondii and N. caninum, the Besnoitia spp. lytic cycle is rather more asynchronous. This is likely due to an extended time period during which Besnoitia spp. invade their host cells, and the rather extended dTs. After 72 hpi, most isolates had predominantly formed lysis plaques. This was more pronounced for Bb-Spain1, Bb-Israel and B. tarandi, the two latter isolates showed high proliferation rates (i.e. tachyzoite yields at 144 hpi). The limited representation of large vacuoles suggests a prompt egression for Bb-Spain1 tachyzoites. In Bb-France, Bb-Ger1, and Bb-Evora03, about 50 % of invaded tachyzoites had already created a lysis plaque; in those isolates, large vacuoles were more often observed than small vacuoles, and these isolates showed lower proliferation rates. In Bb-Spain2, the picture was dominated by large vacuoles, followed by small vacuoles and only few lysis plaques which correlated with the lowest proliferation rate as determined for this isolate. For Bb-Italy2, however, the interpretation of the invasion outcome was less clear; in this isolate, small vacuoles dominated the picture, but there were more lysis plaques than large vacuoles. In part, this may be explained by the lag phase of 48 h. A possible explanation for the invasion pattern of this isolate could be the presence of faster and slower tachyzoites in the inoculum. We might speculate that during repeated in vitro passage of isolates, the tachyzoites will be exposed to a selection pressure that results in the synchronization of the lytic cycle. However, our results suggest otherwise, since we showed that the speed of the lytic cycle seems to become an intrinsic in vitro characteristic of a given isolate. However, we must keep in mind that the results presented here have been obtained in one specific cell line and that different host cells could influence the proliferation kinetics, as e.g. Schares et al. observed different proliferation rates of the same B. besnoiti isolate in different cell lines [41].
Interestingly, the tachyzoite yield could not be predicted neither by invasion related parameters (velocity and half time invasion) nor by proliferation parameters (lag phase and dT). In contrast, the IR in N. caninum was shown to impact on the in vitro proliferation of N. caninum isolates of bovine and canine origin [36].
B. tarandi did not differ from the assessed B. besnoiti isolates, neither with respect to invasion nor proliferation characteristics. Although one isolate is a very limited sample, the close genetic [6], immunogenic [40], and proteomic [61] relationship between B. tarandi and B. besnoiti seems to be reflected in comparable in vitro characteristics at least in the model used here.
Differences in in vitro behavior could be attributed to the biological diversity of these Besnoitia spp. isolates. However, especially the results obtained with Bb-Israel should be interpreted with caution, since this isolate has been maintained for extended periods in cell culture, which may have led to attenuation of virulence, and adaptation to efficient replication in vitro. For N. caninum and T. gondii parasites, this effect had been reported earlier [34, 54]. For N. caninum, a positive correlation between invasion capacity, tachyzoite yield and in vivo virulence in the mouse model could be shown [25, 36]. If this holds true for B. besnoiti as well, Bb-France and Bb-Evora03 would be expected to be the most pathogenic isolates, followed by Bb-Israel and Bb-Ger1. To test this hypothesis, animal experiments would be necessary. Liénard et al. succeeded in provoking clinical besnoitiosis in rabbits upon infection with B. besnoiti bradyzoites freshly isolated from a cow [62]. For testing in vivo virulence of isolates kept in culture, however, no standardis ed animal models are yet available. Furthermore, all isolates used in this study had been obtained from clinically affected cows or bulls with noticeable skin lesions, i.e. no indication on differences in virulence could be derived from this. Thus, there is currently no possibility to address virulence in B. besnoiti isolates. Genetic heterogeneity of B. besnoiti isolates could be another explanation for the different in vitro characteristics observed. In this respect, only very few and somewhat contradictory studies have been published. While Madubata et al. [37] reported genetic heterogeneity between four B. besnoiti isolates when performing microsatellite analysis, Gutiérrez-Exposito et al. [38] using the same methods could only find one isolate (Bb-Italy2) that differed from 10 other, homogenous, B. besnoiti isolates. This leads to the conclusion that further molecular markers are needed and that those markers need to be applied to a broad range of isolates to characterize B. besnoiti population structure.