Chlamydia trachomatis infection of the human Fallopian tubes can lead to damaging inflammation and scarring, ultimately resulting in infertility. To study the human cellular responses to chlamydial infection, researchers have frequently used transformed cell lines that can have limited translational relevance. We developed a primary human Fallopian tube epithelial cell model based on a method previously established for culture of primary human bronchial epithelial cells. After protease digestion and physical dissociation of excised Fallopian tubes, epithelial cell precursors were expanded in growth factor-containing medium. Expanded cells were cryopreserved to generate a biobank of cells from multiple donors and cultured at an air-liquid interface. Culture conditions stimulated cellular differentiation into polarized mucin-secreting and multi-ciliated cells, recapitulating the architecture of human Fallopian tube epithelium. The polarized and differentiated cells were infected with a clinical isolate of C. trachomatis, and inclusions containing chlamydial developmental forms were visualized by fluorescence and electron microscopy. Apical secretions from infected cells contained increased amounts of proteins associated with chlamydial growth and replication, including transferrin receptor protein 1, the amino acid transporters SLC3A2 and SLC1A5, and the T cell chemoattractants CXCL10, CXCL11, and RANTES. Flow cytometry revealed that chlamydial infection induced cell surface expression of T cell homing and activation proteins including ICAM-1, VCAM-1, HLA class I and II, and IFNγR. This human Fallopian tube epithelial cell culture model is an important tool with translational potential for studying cellular responses to Chlamydia and other sexually-transmitted pathogens.
During intracellular Chlamydia infection, cytosolic DNA is sensed by cyclic GMP-AMP synthase (cGAS) that catalyzes the synthesis of cGAMP from ATP and GTP. cGAMP is a key mediator of IFN beta expression during DNA sensing and can also transfer to adjacent uninfected cells through intercellular connexin gap-junctions to induce intrinsic immunity. In this study, we investigated the role of gap junction protein connexin 43 (CX43) during Chlamydia infection. Using RNA-in situ hybridization, we discovered a distinct intracellular contribution of CX43 in IFN beta expression in the infected cells and cells transfected with DNA, a function distinct from its intercellular gap-junction role affecting IFN beta expression in adjacent uninfected cell. CX43 is essential for IFN beta expression during DNA-sensing upstream of STING activation, but not required during RNA-sensing. CX43 co-localized with transfected DNA and on the chlamydial inclusion membrane with cGAS. CX43-depleted cells showed significantly reduced cGAMP production during DNA-sensing. CX43 forms hemichannels on intracellular membrane, which open and close to allow nucleotide transfer. Blocking this transport across CX43 hemichannel reduced IFN beta expression during infection and DNA-sensing, without altering CX43 localization. These results uncover a novel role of CX43 in cGAMP synthesis by cGAS during cytosolic DNA-sensing.
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