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Fetal hematopoietic stem cells are activated during acute prenatal infection with Toxoplasma gondii and IFNγ

View ORCID ProfileApril C. Apostol, View ORCID ProfileKelly S. Otsuka, View ORCID ProfileDiego A. López, View ORCID ProfileJasmine Posada, View ORCID ProfileKirk D.C. Jensen, View ORCID ProfileAnna E. Beaudin
doi: https://doi.org/10.1101/2022.11.29.518417
April C. Apostol
1Quantitative and Systems Biology Graduate Program, University of California-Merced, Merced, CA, USA
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Kelly S. Otsuka
2Division of Microbiology and Immunology, Department of Pathology, University of Utah School of Medicine, Salt Lake City, UT, USA
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Diego A. López
2Division of Microbiology and Immunology, Department of Pathology, University of Utah School of Medicine, Salt Lake City, UT, USA
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Jasmine Posada
3Department of Molecular and Cell Biology, University of California, Merced, Merced, CA, USA
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Kirk D.C. Jensen
3Department of Molecular and Cell Biology, University of California, Merced, Merced, CA, USA
4Health Science Research Institute, University of California, Merced, Merced, CA, USA
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Anna E. Beaudin
5Departments of Internal Medicine and Pathology, and Program in Molecular Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA
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  • For correspondence: anna.beaudin@hsc.utah.edu
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Abstract

Infection in the adult organism drives cytokine-mediated inflammation that directly influences hematopoietic stem cell (HSC) function and differentiation within the bone marrow, but much less is known about the fetal hematopoietic response to maternal infection during pregnancy. Here, we investigated the fetal hematopoietic response to maternal infection with Toxoplasma gondii (T. gondii). T. gondii is an intracellular parasite that elicits Type II IFNγ-mediated maternal immunity to prevent vertical transmission and promote parasite clearance. The production of excessive IFNγ during maternal infection with T. gondii has dire consequences for the developing fetus, such as reduced birth weights and premature abortion, but the effects on developing hematopoietic cells and the signals that mediate these interactions have not been investigated. Our investigation reveals that the heterogenous fetal HSC pool responds to T. gondii infection with virulence-dependent changes in proliferation, self-renewal potential, and lineage output. We demonstrate that maternal IFNγ crosses the fetal-maternal interface and is perceived directly by fetal HSCs. By directly comparing the effects of maternal IFNγ injection with maternal T. gondii infection, our observations reveal that IFNγ mimics several aspects of the fetal HSC response to infection. Moreover, our data disentangle the role of additional infection-induced inflammatory cytokines in driving the expansion of independent downstream hematopoietic progenitors. Together, our findings illuminate the robust response of fetal hematopoietic stem cells to prenatal infection, and demonstrate that this response is distinct from the adult HSC response to IFNγ-induced inflammation.

Introduction

Congenital infection can have dire outcomes for fetal health and development. Several pathogens are implicated in vertical transmission or infection of the fetus from the maternal host. These so called “TORCH” pathogens include Toxoplasma gondii, “other” (syphilis, varicella-zoster, parvovirus B19) (Stegmann & Carey, 2002), Rubella virus, Cytomegalovirus, and Herpes simplex virus (Megli & Coyne, 2022), and have recently been extended to include Zika virus (Kovacs, 2020). Even in the absence of vertical transmission, prenatal inflammation during infection can cause systemic changes to fetal immunity, including systemic cytokine production and lymphocyte polarization (Dauby et al, 2012; Levy & Wynn, 2014). These changes to fetal immunity translate into alterations in neonatal functional immune outcomes, including altered response to vaccine and susceptibility to infection (Apostol et al, 2020). Several proposed mechanisms may underlie this phenomenon, including the transplacental transport of maternal antibody-antigen complexes that directly prime fetal immune cells, or the active or passive transplacental transport of maternal inflammatory mediators or metabolites that directly stimulate an immune response in the fetus (Apostol et al., 2020). However, very little is known about how these signals are “seen” and “translated” by fetal hematopoietic and immune cells.

With respect to the adult hematopoietic system, accumulating evidence from studies on the effects of inflammation and infection indicate that these events modulate hematopoietic output by directly influencing hematopoietic stem cell (HSC) function (Caiado et al, 2021; Pietras, 2017). Inflammation can directly activate HSCs residing in the bone marrow (BM) due to their capacity to respond to inflammatory stimuli, derived from either circulation (Baldridge et al, 2011) or the BM niche (Mitroulis et al, 2020). HSCs have the capacity to respond directly to a variety of inflammatory cytokines including TNF-α (Yamashita & Passegué, 2019), IL1-β (Pietras et al, 2016), IL-27 (Furusawa et al, 2016), and interferons (Baldridge et al, 2010; Essers et al, 2009; Haas et al, 2015; Matatall et al, 2014), among others. In addition to direct “sensing” of cytokines, adult HSCs also respond directly to signals from bacterial (Matatall et al, 2016) and viral (Hirche et al, 2017) infections. Across a wide variety of inflammatory stimuli, BM HSCs stereotypically respond by restricting lymphoid cell production in favor of myeloid expansion, mediated by activation of myeloid-biased HSCs and expansion of myeloid-primed progenitors (Haas et al., 2015; MacNamara et al, 2011b; Matatall et al., 2014; Pietras et al., 2016). Inflammation also causes adult HSCs to rapidly exit quiescence, which has negative consequences for their ability to self-renew and persist following transplantation (Baldridge et al., 2010; Essers et al., 2009; Hirche et al., 2017; MacNamara et al, 2011a; Matatall et al., 2016)

There is little information about the impact of prenatal inflammation on developmental hematopoiesis during early life. Proinflammatory cytokine signaling is required for normal pregnancy and fetal development but is also detrimental to fetal health during maternal infection (Yockey & Iwasaki, 2018). In early development, “sterile” inflammatory cytokine signaling is necessary for proper HSC specification in the ventral aortic endothelium (Espin-Palazon et al, 2018); both Type I and II interferon signaling regulate HSC specification (Li et al, 2014; Sawamiphak et al, 2014), as the lack of signaling contributes to fewer fetal hematopoietic stem and progenitor cells (HSPCs) overall. Emerging evidence suggests that fetal HSPCs, including HSCs, may also be amenable to inflammatory signals perceived from maternal sources (Apostol et al., 2020) and our lab recently established that fetal HSPCs respond directly to prenatal inflammation. Using a mouse model of maternal immune activation (MIA) induced by poly(I:C), we demonstrated that Type I interferons induced by prenatal inflammation activate transient, lymphoid-biased hematopoietic progenitors, driving a lymphoid-biased response during fetal hematopoiesis (López et al, 2022).

To gain further insight into the mechanism by which prenatal infection and inflammation affects fetal HSC development, here we utilized a novel model of maternal infection using the intracellular apicomplexan parasite, Toxoplasma gondii (T. gondii). As a vertically-transmitted and ubiquitous pathogen (Megli & Coyne, 2022) acute maternal infection is estimated to occur in approximately 1% of all human pregnancies (Bigna et al, 2020; Rostami et al, 2019) with roughly 10% of exposures resulting in fetal infection (Torgerson & Mastroiacovo, 2013). Congenital toxoplasmosis is recognized as an impediment to proper fetal and neonatal development (McLeod et al, 2009) with complications ranging from miscarriage, stillbirth, fetal death, neurological sequalae, chorio-retinitis, and hydrocephalus. T. gondii infections of human placentas ex vivo reveal certain cell types are better suited to restrict infection and specific chemokine responses have been identified (Ander et al, 2018; Robbins et al, 2012). In mouse models of congenital infection, Type II IFNγ-mediated maternal immunity simultaneously promotes parasite clearance and prevents vertical transmission; however, the production of excessive IFNγ from T. gondii infection can also have dire consequences for the developing fetus, such as stillbirth and spontaneous abortion (Pappas et al, 2009; Senegas et al, 2009; Shiono et al, 2007). Beyond the well-established adverse outcomes associated with T. gondii congenital infection and identification of certain host resistance mechanisms, it is less clear how maternal infection impacts the fetal HSC compartment and subsequent immune system development.

To investigate the effect of congenital toxoplasmosis on developing fetal HSCs, we performed experiments using the “FlkSwitch” fate-mapping model, which identifies two functionally-distinct fetal HSC populations: a lymphoid-biased, developmentally restricted HSC (drHSC) marked by Flk2-driven GFP expression, and a “canonical” HSC marked by Tomato expression that persists into the adult bone marrow (Beaudin et al, 2016). To investigate how IFNγ directly mediates the fetal hematopoietic response within the complex framework of infection, we also compared the effects of maternal T. gondii infection of varying degrees of virulence to a single maternal cytokine injection of IFNγ. Our results demonstrate, in both an infection and Type II interferon model, that fetal HSCs are directly responsive to maternally-derived cytokines. Maternal infection also drives an independent inflammatory response within the fetus that evokes functional changes in HSCs and downstream multipotent progenitors. This study reveals the intricate response of fetal hematopoiesis to a bona fide congenital infection and positions IFNγ as a critical regulator of fetal HSC function. Our data suggest that individuals exposed to maternal T. gondii infection or Type II IFNγ-mediated inflammation in utero may exhibit functional alterations to their immune systems driven by alterations to fetal HSC function. The long-term impact associated with these changes warrants further investigation.

Results

In utero exposure to Toxoplasma gondii impacts fetal hematopoiesis

To determine the direct effects of maternal infection on fetal hematopoiesis, we employed a mouse model of maternal infection using the “TORCH” or congenitally transmitted pathogen Toxoplasma gondii (T. gondii), a ubiquitous parasite that elicits a well-characterized IFNγ-mediated immune response during pregnancy (Senegas et al., 2009; Shiono et al., 2007). At embryonic day (E)10.5, we injected pregnant dams with 2×104 tachyzoites (Fig. 1A) of either the Pru or RH strains of T. gondii. The Pru strain is of “intermediate” virulence with a LD50 of 2×103 parasites, whereas RH is considered highly virulent with an LD100 of one parasite (Saeij et al, 2005). This dichotomy in virulence is evident in fetal size at E16.5, as increased virulence is associated with lowered crown-rump length (Fig. 1B, SFig. 1A) and decreased fetal viability (SFig. 1B).

Figure 1:
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Figure 1: In utero exposure to Toxoplasma gondii impacts fetal hematopoiesis.

A) Schematic of prenatal infection with Toxoplasma gondii. At E10.5, pregnant FlkSwitch dams were injected with saline or 2×104 tachyzoites of parasite strains Pru or RH. Fetal outcomes were assessed at E16.5.

B) Crown-rump length (fetal size) was measured in E16.5 fetuses following saline or maternal infection with Pru or RH strains of Toxoplasma gondii.

C-E) Representative gating strategy and frequencies of various hematopoietic stem and progenitor cell (HSPC) populations in E16.5 fetal liver after C) saline, D) Pru, or E) RH conditions. Numbers indicate frequency + SD as a percentage of total CD45+, live, Lin-cells.

F-M) Total cellularity of F) HSPCs, G) LT-HSCs, H) ST-HSCs, I) Tom+ HSCs, J) GFP+ drHSCs,

K) MPP2, L) MPP3, M) MPP4 in E16.5 fetuses following saline or maternal infection with Pru or RH as shown in Fig. 1A.

N-P) Frequency of N) GFP+ drHSCs O) Tom+ HSCs P) MPPs (CD150-HSPCs) expressing Ki67 (G1+G2-M-S) at E16.5 following saline or maternal infection with Pru or RH as shown in Fig. 1A. For all analysis above bars represent mean. One-way ANOVA with Tukey’s test. *p ≤ 0.05; **p ≤ 0.0; ***p ≤ 0.001; ****p ≤ 0.0001.

To investigate how specific populations within the fetal liver (FL) hematopoietic stem and progenitor cell (HSPC) compartment responded to maternal T. gondii infection, we used previously described surface markers to demarcate long-term (LT-) and short-term (ST-) hematopoietic stem cells (HSCs) along with multipotent progenitor (MPP) 2, 3, and 4 subsets and Tom+ HSCs and GFP+ developmentally restricted (dr) HSCs (Fig. 1C-E, SFig. 1C) (Beaudin et al., 2016; Yilmaz et al, 2006). Maternal T. gondii infection significantly affected fetal hematopoiesis at E16.5 in a virulence dependent manner. First, in response to maternal infection, the frequency (Fig. 1C-E) of HSPCs was increased in response to the more virulent RH infection but unchanged in the Pru condition. The increased frequency was largely attributable to the RH-exposed MPP2, -3 and -4 subsets (Fig. 1E). Despite increases in progenitor frequency, total FL cellularity was significantly reduced in response to RH infection (SFig. 1D) and there was a virulence-dependent reduction in the overall number of CD45+ (hematopoietic) FL cells (SFig. 1E). Surprisingly, these dramatic changes in CD45+ cellularity did not translate into statistically significant reductions in HSPC cellularity (Fig. 1F), suggesting specific maintenance of fetal HSPCs in response to maternal infection. Whereas total cellularity of LT-HSCs (Fig. 1G), ST-HSCs (Fig. 1H), Tom+ HSCs (Fig. 1I), GFP+ drHSCs (Fig. 1J), and MPP2s (Fig. 1K) decreased in Pru and RH compared to saline control. Cellularity of MPP3s was comparable to controls for both infections (Fig. 1L). In contrast, MPP4 cellularity increased significantly in the RH condition (Fig. 1M), driving the relative increase in HSPC cellularity (Fig. 1F). Since HSPC numbers were maintained despite an overall decrease in CD45+ cells, we hypothesized that maternal infection promoted HSPC proliferation. A virulence-dependent increase in Ki67 expression in both GFP+ drHSCs (Fig. 1N) and Tom+ HSCs (Fig. 1O) indicated that maternal infection drove HSC proliferation. MPP (CD150-HSPCs) proliferation as determined by Ki67 expression also increased significantly, but only in the RH condition (Fig. 1P), supporting observations of an expanded MPP4 compartment (Fig. 1E, M). Thus, severity of maternal infection appeared to drive immediate virulence-dependent changes to proliferation by triggering HSC proliferation and expansion of downstream HSPCs in the fetal liver.

In utero exposure to T. gondii modulates fetal HSC function

Next we directly investigated the impact of maternal infection on HSC self-renewal and function by performing competitive transplantation assays following maternal infection with T. gondii. Acute infection and inflammation in the adult hematopoiesis affects HSC self-renewal and biases HSC output towards the myeloid lineage (Pietras, 2017). To test the effect on fetal HSCs, we isolated and sorted Tom+ HSCs or GFP+ drHSCs from E15.5 FL following maternal infection and competitively transplanted them with 5×105 adult whole bone marrow (WBM) cells into lethally irradiated adult recipients (Fig. 2A). Recipient mice were monitored every 4 weeks for 16 weeks post-transplantation to determine long-term multi-lineage reconstitution (LTMR), or the ability of HSCs to reconstitute mature lineages in the peripheral blood, as well as progenitors within the BM niche, in both primary and secondary recipients (Fig. 2A).

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Figure 2: In utero exposure to Toxoplasma gondii modulates fetal HSC function

A) Schematic of transplantation experiments. After prenatal infection with Pru or RH strains, or saline control, injections as shown in Fig. 1A, 200 E15.5 FL Tom+ HSCs or GFP+ drHSCs were isolated and transplanted into lethally irradiated WT recipients along with 5×105 WT whole bone marrow (WBM) cells. 5×106 WBM from fully reconstituted Tom+ HSC primary recipients or 1×107 WBM from GFP+ drHSC primary recipients were transplanted into lethally irradiated secondary recipients. Primary and secondary recipients were monitored for peripheral blood output of mature blood cell populations and bone marrow chimerism.

B) Ratio of primary recipients from Fig. 2A with long-term multi-lineage reconstitution (LTMR: > 1% peripheral blood chimerism within each mature lineage) in all 4 lineages (granulocyte/macrophages [GM], platelets, B- and T-cells), n of mice is shown as the numerator. Statistical significance determined by Fisher’s exact test (2-tailed). *p ≤ 0.05;

C-F) Peripheral blood (PB) chimerism of primary Tom+ HSC transplant recipient mice with LTMR (Fig. 2B) in C) granulocytes/macrophages (GM), D) platelets, E) B-cells, and F) T-cells at week 16 post-transplantation.

G-J) Peripheral blood (PB) chimerism of primary GFP+ drHSC transplant recipient mice with LTMR (Fig. 2B) in G) granulocytes/macrophages (GM), H) platelets, I) B-cells, and J) T-cells at week 16 post-transplantation.

K) Ratio of secondary recipients from Figure 2A with long-term multi-lineage reconstitution (LTMR; > 0.1% PB chimerism) in all 4 lineages (GM, platelets, B- and T-cells), n of mice is shown as the numerator. Statistical significance determined by Fisher’s exact test (2-tailed). *p ≤ 0.05;

L-O) Peripheral blood (PB) chimerism of secondary recipients of Tom+ HSC with LTMR (Fig. 2K) in L) granulocytes/macrophages (GM), M) platelets, N) B-cells, and O) T-cells at week 16 post-transplantation.

P-S) Peripheral blood (PB) chimerism of secondary recipients of GFP+ drHSCs with LTMR (Fig. 2K) in P) granulocytes/macrophages (GM), Q) Platelets, R) B-cells, and S) T-cells at week 16 post-transplantation. No reconstitution (nr) was present in recipients of GFP+ drHSCs in RH. Graphs C-J and L-S are plotted as the mean + SD. One-way ANOVA with Tukey’s test. *p ≤ 0.05; **p ≤ 0.01; ***p ≤ 0.001; ****p ≤ 0.0001.

Maternal infection with T. gondii influenced the long-term function of both Tom+ HSCs and GFP+ drHSCs upon transplantation. The ratio of Tom+ recipients with sustained LTMR after primary transplantation was equivalent across all infection conditions (Fig. 2B). However, maternal infection enhanced Tom+ HSC function by increasing myeloid output; peripheral blood (PB) granulocyte-macrophage (GM) chimerism was higher in response to both Pru and RH infections (Fig. 2C), and platelet chimerism was also increased in response to Pru infection (Fig. 2D). In contrast, there was a sharp reduction in the LTMR ratio among recipients of GFP+ drHSCs in response to RH when compared to saline (Fig. 2B), and maternal infection did not significantly affect GM or platelet chimerism in primary recipients of GFP+ drHSCs (Fig. 2G-H). B- and T-cell chimerism in recipients of both Tom+ HSCs (Fig. 2E-F) or GFP+ drHSCs (Fig. 2I-J) was also unchanged in response to infection.

Eighteen weeks after primary transplantation, we investigated the long-term contribution of transplanted HSCs to progenitors in the bone marrow of primary recipients (SFig. 2). In parallel to PB output, prenatal exposure to Pru infection in recipients of Tom+ HSCs increased BM chimerism across most stem and progenitor cells, whereas HSPC chimerism in recipients of RH-exposed Tom+ HSCs was comparable to saline controls (SFig. 2A-F). We also observed expansion of bone marrow myeloid progenitors in Tom+ HSC recipients following Pru exposure, including increased chimerism of progenitors of granulocytes, macrophages, and megakaryocytes (SFig. 2G-H), but not erythroid progenitors (SFig. 2I). In contrast to Tom+ HSC recipients, infection did not increase BM chimerism in GFP+ drHSC recipients and was generally decreased in the RH-exposed recipients across all progenitor populations (SFig. 2A-M) indicating early exhaustion of GFP+ drHSCs in RH, but not Pru, recipients. Thus, greater virulence was clearly detrimental for the developmentally-restricted GFP+ drHSC, but enhanced output of the Tom+ HSC, a putative adult precursor.

To further test HSC long-term self-renewal capability in response to infection, we performed secondary transplantation assays, in which whole bone marrow cells from primary recipients were transplanted into irradiated secondary recipients (Fig. 2A). We transplanted twice as many WBM cells from GFP+ drHSC recipients, based on our previous report that GFP+ drHSC exhibited less self-renewal potential in a secondary transplant setting (Beaudin et al., 2016). All Tom+ HSCs recipients retained robust LTMR in the peripheral blood upon secondary transplantation (Fig. 2K) that was equivalent across all PB mature cell subsets regardless of virulence (Fig. 2L-O). Robust PB chimerism was mirrored by comparable chimerism across most BM stem, progenitor, and mature cell compartments (SFig. 2N-Z), with significantly higher chimerism only in common lymphoid progenitors (CLPs) (SFig. 2X). In contrast, GFP+ drHSC LTMR was abolished in response to virulent infection, with 0/8 GFP+ drHSC recipients exhibiting LTMR in the RH condition (Fig. 2K). Surprisingly, although only 2/6 recipients were reconstituted upon secondary transplantation with Pru-exposed GFP+ drHSCs, chimerism among reconstituted recipients was significantly higher than controls for both GM (Fig. 2P) and B-cell (Fig. 2R) lineages, with no differences in platelet (Fig. 2Q) or T-cell lineages (Fig. 2S). Analysis of BM chimerism in secondary recipients confirmed that only GFP+ drHSC recipients in the Pru condition exhibited any progenitor chimerism, whereas recipients of RH-exposed GFP+ drHSCs had no detectable BM chimerism (SFig. 2N-Z), consistent with the absence of LTMR (“nr” or no reconstitution) (Fig. 2K, Fig. 2P-S). Tom+ HSC recipients therefore maintained LTMR without loss of self-renewal potential in response to maternal toxoplasma infection, regardless of virulence, while GFP+ drHSCs succumbed to exhaustion in a virulence-dependent manner.

Maternal T. gondii infection increases inflammatory cytokines in the fetus

To gain further insight into the mechanisms underlying the effects of maternal infection on fetal hematopoiesis, we characterized inflammation in the amniotic fluid and fetal liver for levels of inflammatory cytokines at E15.5 (Fig. 3). In the fetal amniotic fluid (Fig. 3A-E), infection with either Pru or RH induced high levels of IFNγ and IFNβ compared to saline controls (Fig 3A, D). Upregulation of other cytokines in fetal amniotic fluid was virulence-dependent, including significant increases in IL-6 (Fig. 3B) and IL-1α (Fig. 3C) only after maternal infection with the virulent strain, RH. While there were measurable levels of IFNγ present in fetal liver supernatant (Fig. 3H), we observed a significant virulence-dependent upregulation of IL-1α in the fetal liver (Fig. 3F) and a significant increase in IL-1β for both T. gondii strains (Fig 3G). Comparison of maternal serum levels in response to infection revealed increased levels of IFNγ, TNFα, and IL-6 (Fig. 3I, J, K). Suprisingly, IFNγ levels were only elevated in response to the less virulent Pru infection at this timepoint, and Pru also elicited a significantly greater TNFα response as compared to RH. IL-6 was only increased in maternal serum in response to RH infection (Fig. 3K). As compared to the fetal response, IL-1α did not show a response to infection in maternal serum (Fig. 3L), suggesting that increased IL-1α is unique to the fetal hematopoietic response to maternal infection. While IFNγ is a significant component of cytokine activity in the fetus, T. gondii infection also causes the upregulation of other cytokines within the fetal environment which may affect fetal hematopoiesis.

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Figure 3: Toxoplasma gondii virulence from maternal infection modulates inflammation in the fetal environment

A-D Measurement of A) IFNγ, B) IL-6, C) IL-1α and D) IFNβ cytokine in fetal amniotic fluid at E15.5 following prenatal infection. n=8-9 fetuses from at least 3 litters/condition.

E) Heatmap of inflammatory cytokines in fetal amniotic fluid at E15.5. Each column represents the results from an individual fetus at E15.5 following prenatal infection.

F-G) Measurement of F) IL-1α, and G) IL-1β cytokines in fetal liver supernatant at E15.5 following prenatal infection. n=8-9 fetuses from at least 3 litters/condition.

H) Heatmap of inflammatory cytokines in the fetal liver at E15.5. Each column represents the results from an individual fetus at E15.5 following prenatal infection.

I-L) Measurement of I) IFNγ, J) TNF-α,K) IL-6, and L) IL-1α cytokines in maternal serum at E15.5 following prenatal infection; n=3 mice/condition. For all analysis above bars represent mean + SD. One-way ANOVA with Tukey’s test. *p ≤ 0.05; **p ≤ 0.01; ***p ≤ 0.001; ****p ≤ 0.0001.

In utero exposure to IFNγ activates fetal hematopoiesis

As maternal infection elicited a broad and diverse proinflammatory cytokine response in the fetus (Figure 3), we sought to disentangle the immediate fetal hematopoietic response to maternal infection by focusing on the impact of a single cytokine, IFNγ. The maternal response to T. gondii infection is marked by a robust increase in IFNγ in the serum in response to less virulent Pru infection (Fig. 3I) and IFNγ is also present in the fetal microenvironment during maternal infection (Fig. 3H). We hypothesized that fetal HSCs may be directly responsive to IFNγ during infection, as observed for adult HSCs (Baldridge et al., 2010; Morales-Mantilla & King, 2018). To test the immediate response of fetal HSPCs to IFNγ, we injected 20 μg of IFNγ into pregnant (E14.5) WT dams mated to FlkSwitch mice and examined the fetal hematopoietic stem and progenitor response two days later at E16.5. A single injection of maternal IFNγ did not have overt physical effects on fetal development, as crown-rump length was unaffected in E16.5 fetuses (data not shown). At E16.5, HSPC numbers increased significantly in response to maternal IFNγ (Fig. 4A). Although significant expansion was not observed when HSCs were fractionated into Tom+ HSCs and GFP+ drHSCs (Figs. 4C, D), both LT-HSC (Fig. 4B) and ST-HSCs (Fig. 4E) exhibited a sharp decrease in cellularity at E16.5, suggesting mobilization and differentiation at the top of the hierarchy in response to IFNγ. Concomitant with decreased LT- and ST-HSCs, maternal IFNγ significantly expanded all downstream MPP subsets (Fig. 4F-H). As ST-HSCs are a metabolically active precursor to MPPs (Cabezas-Wallscheid et al., 2014; Pietras et al., 2015), the observed decrease in ST-HSCs concomitant with an increase in all MPP subsets suggested that expansion of downstream MPPs may be mediated at the HSC-level.

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Figure 4: In utero exposure to IFNγ activates fetal hematopoiesis

A-H) Total cellularity of A) HSPCs, B) LT-HSCs, C) ST-HSCs, D) Tom+ HSCs, E) GFP+ drHSCs,

F) MPP2, G) MPP3, and H) MPP4 at E16.5 following maternal IFNγ injection. For all analysis above, bars represent mean and cumulative results of 4 experiments/condition are plotted. Statistical significance was determined by unpaired student’s t-test. *p ≤ 0.05;**p ≤ 0.01.

In utero exposure to IFNγ enhances fetal hematopoietic stem cell function and long-term multi-lineage reconstitution

As an HSC-mediated response to inflammation was observed after maternal injection with IFNγ, we sought to isolate the effects of IFNγ on HSC function. We isolated and transplanted 200 Tom+ HSCs or GFP+ drHSCs with 5×105 whole bone marrow cells into lethally irradiated primary recipients and assessed peripheral blood and bone marrow progenitor reconstitution in primary and secondary recipients. Prenatal administration of IFNγ did not affect the ratio of recipients with long-term multi-lineage reconstitution for either Tom+ HSCs or GFP+ drHSCs in primary recipients (Fig. 5A). Importantly, IFNγ exposure increased peripheral blood chimerism in primary recipients of both Tom+ HSC and GFP+ drHSC for GM, platelets, and B-cell lineages, but not T-cells (Fig 5B-I). Compared to saline-treated controls, primary recipients of IFNγ-exposed GFP+ drHSCs exhibited significantly increased chimerism across all HSPC populations in the bone marrow at 18 weeks (SFig. 3A-F), as well as significantly increased chimerism of megakaryocyte progenitors (MkPs; SFig. 3H) and mature myeloid cells (GMs; SFig. 3J). Primary recipients of Tom+ HSCs also exhibited a more modestly increased profile of BM chimerism in response to IFNγ exposure, with significant increases in LT-HSCs (SFig. 3B), MPP3s (SFig. 3E), and MkPs (SFig. 3H). Chimerism of BM progenitors for lymphoid cells, including CLP (SFig. 3K) and B- and T-cell progenitors (SFig. 3L-M) were unaffected by IFNγ exposure across all recipients. The effect of direct injection of IFNγ therefore mimicked aspects of the intermediate Pru infection.

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Figure 5: In utero exposure to IFNγ enhances fetal hematopoietic stem cell function.

A) Ratio of recipients with long-term multi-lineage reconstitution (LTMR: > 1% PB chimerism) in all 4 lineages (GM, platelets, B- and T-cells). N of mice is shown as the numerator.

B-E) Peripheral blood (PB) chimerism of B) granulocyte/macrophages (GM), C) platelets, D) B-cells, and E) T-cells in Tom+ HSC transplant recipients in Fig. 5A at 16 weeks post-transplantation.

F-I) Peripheral blood (PB) chimerism of F) granulocyte/macrophages (GM), G) platelets, H) B-cells, and I) T-cells in GFP+ drHSC transplant recipients of mice in Fig. 5A at 16 weeks post-transplantation.

J) Ratio of secondary transplant recipients with long-term multi-lineage reconstitution (LTMR > 0.1% PB chimerism) in all 4 lineages (GM, platelets, B- and T-cells). N of mice is shown as the numerator.

K-N) Peripheral blood (PB) chimerism of K) granulocyte/macrophages (GM), L) platelets, M) B-cells, and N) T-cells in secondary Tom+ HSC transplant recipients in Fig. 5J at 16 weeks post-transplantation.

O-R) Peripheral blood (PB) chimerism of Q) granulocyte/macrophages (GM), R) Platelets, S) B-cells, and T) T-cells in secondary transplant recipients of GFP+ drHSCs in Fig. 5J at 16 weeks post-transplantation. For all % chimerism experiments, mice not demonstrating LTMR were not included in analysis. Bars represent mean + SD. Statistical significance was determined by unpaired student’s t-test. *p ≤ 0.05; **p ≤ 0.01;

In secondary recipients, IFNγ treatment did not substantially affect the frequency of LTMR from in either Tom+ HSC or GFP+ drHSCs (Fig 5J). Peripheral blood T-cell chimerism increased from Tom+ HSCs (Fig. 5N), but was unchanged in PB for GM, platelets, and B-cells (Figure 5K-M). PB chimerism was also unaffected by IFNγ treatment in secondary recipients of GFP+ drHSCs (Fig. 5O-R), and was overall very low. Analysis of BM chimerism in secondary recipients of Tom+ HSCs revealed that compared to saline controls, chimerism was generally equivalent across all conditions (SFig. 3N-W, Y) except for an increase in CLPs (Fig. SFig. 3X) and T-cells (SFig. 3Z), that mirrored increased T-cell output in the PB (Fig. 5N). In secondary recipients of GFP+ drHSCs, BM chimerism was increased in ST-HSCs (SFig. 3P), MPP2s (SFig. 3Q), and MPP3s (SFig. 3R) in response to IFNγ exposure. Thus, prenatal exposure to IFNγ alone increased self-renewal capacity and output of both Tom+ HSCs and transient GFP+ drHSCs upon primary transplantation, similar to our observations with the Pru infection of intermediate virulence.

Fetal HSCs respond directly to maternal IFNγ through the IFNγ receptor

The differences in the response of HSCs and progenitors to IFNγ alone compared to IFNγ in the context of a complex infection led us to investigate the degree to which maternal or fetal IFNγ was responsible for the hematopoietic changes induced by T. gondii infection. We first investigated whether maternal sources of IFNγ crossed the placenta into the fetus. Pregnant IFNγ knock-out (IFNγ-/-) dams were injected intraperitoneally at E14.5 with 20 μg of recombinant IFNγ. Cytokine analysis of both fetal amniotic fluid and fetal liver one day after revealed the presence of IFNγ in IFNγKO fetuses (Fig. 6A), demonstrating for the first time that maternal IFNγ crossed the maternal-fetal barrier. LT-HSCs in the fetal liver express the IFNγ receptor (IFNγR) (Baldridge et al., 2010) and can therefore directly sense IFNγ. To investigate the fetal HSC response via the IFNγ receptor, IFNγR +/-dams were time mated with IFNγR -/- males (Fig. 6B). Pregnant dams were injected with 20 μg of IFNγ at E14.5 and fetal liver HSPCs were quantified at E15.5. Surprisingly, prenatal IFNγ exposure induced the same expansion of total HSPCs in both IFNγR +/- and -/- fetuses (Fig. 6C), despite the absence of the IFNγR in -/- fetuses. Interestingly, IFNγR deletion on the fetal side resulted in accumulation of IFNγ in amniotic fluid and fetal liver even in the absence of exogenous IFNγ administration, suggesting accumulation of cytokine due to lack of receptor signaling (SFig. 4A-D). Moreover, detection of IFNγ on the fetal side in the absence of IFNγR at the maternal-fetal interface indicated significant passive transport of IFNγ across the placenta that is independent of receptor-mediated transcytosis. When further examined across HSPC populations, deletion of the fetal IFNγR abrogated the expansion of both LT-HSCs (Fig. 6D) and ST-HSCs (Fig. 6E) in response to maternal IFNγ. Surprisingly, however, maternal IFNγ treatment still expanded MPP populations even in IFNγR -/- fetuses (Fig. 6F-H). These data suggest that while IFNγ acts directly upon fetal HSCs, downstream activation and expansion of other HSPC populations is dissociated from HSC activation and may be driven by other cytokines produced downstream of maternal IFNγR signaling.

Figure 6:
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Figure 6: Fetal HSCs respond directly to maternal IFNγ through the IFNγ receptor.

A) IFNγ cytokine measured in the amniotic fluid (AF) and fetal liver supernatant (FL) of IFNγKO (IFNγ-/-) mice one day following injection of cytokine on E14.5. ND = not detectable. Data represent mean of 3 fetuses/condition and error bars represent + SD.

B) Schematic of timed matings. IFNγR +/-dams were time mated to IFNγR -/- males and injected with saline or 20 μg IFNγ at E14.5. Fetal liver HSPCs were analyzed at E15.5.

C-H) Total cellularity of C) HSPCs, D) LT-HSCs, E) ST-HSCs, F) MPP2, G) MPP3, and H) MPP4 in saline or IFNγ exposed littermates of each genotype (IFNγ +/-or -/-), as derived from the cross as shown in Fig. 6B (IFNγR +/-dam).

I) Schematic of timed matings. IFNγR -/- dams were time mated to IFNγR +/-males and injected with saline or 20 μg IFNγ at E14.5. Fetal liver HSPCs were analyzed at E15.5.

J-O) Total cellularity of J) HSPCs, K) LT-HSCs, L) ST-HSCs, M) MPP2, N) MPP3, and O) MPP4 in saline or IFNγ exposed littermates of each genotype (IFNγ +/-or -/-), as shown in Fig. 6I (IFNγR -/- dam). For all analysis bars represent mean. Statistical significance was determined by unpaired student’s t-test. *p ≤ 0.05; **p ≤ 0.01; ***p ≤ 0.001; ****p ≤ 0.0001.

To further analyze the fetal HSC response to IFNγ, we performed the opposite cross, wherein IFNγR -/- dams were time mated with IFNγR +/-males (Fig. 6I). Deletion of the maternal IFNγR and thereby the maternal IFNγ-signaling response eliminated the cellular response of LT-HSCs and ST-HSCs in both IFNγR +/- and -/- fetuses (Fig. 6K-L). In contrast, in fetuses with an intact copy of receptor (IFNγR +/-), all MPP subsets expanded in response to maternal injection with IFNγ (Fig 6M-O; SFig 6F), despite the inability of the dam to mount an IFNγ-signaling response (SFig 4E). Collectively, the data would suggest that IFNγ-signaling is necessary in both the fetus and dam to elicit a response in LT-HSC and ST-HSCs. These data also imply that the immediate MPP response is distinct from the fetal HSC response, which requires both direct IFNγ-signaling and a maternal derived IFNγ-induced factor. Together, these data provide direct evidence that the fetal hematopoietic response therefore coordinates signals across the maternal-fetal interface and reflects the dynamic and diverse responses of distinct HSPCs.

Discussion

Our investigation reveals the multifaceted response of fetal hematopoietic stem and progenitor cells (HSPCs) to a complex and acute prenatal infection. T. gondii is a ubiquitous pathogen and infection during pregnancy has severe implications for fetal health and development, regardless of vertical transmission of the parasite. Inflammation from prenatal infections such as T. gondii drive alterations to fetal immune development and shape the postnatal immune response in offspring (López et al., 2022), but the cellular mechanisms underlying those changes are poorly understood. Here, we demonstrate that fetal HSPCs are directly affected by prenatal infection, and that both maternal and fetal responses to prenatal infection affect proliferation, self-renewal, and lineage output of fetal HSCs. Our results suggest that the response of fetal HSCs to infection is a novel mechanism by which prenatal infection drives changes to postnatal hematopoietic output and function in offspring.

T. gondii elicits a typical Type II IFNγ-mediated host immune response to resolve infection and clear parasites (Sturge & Yarovinsky, 2014). During gestation, the typified IFNγ-mediated response has been demonstrated to limit vertical transmission at the expense of fetal growth and survival (Abou-Bacar et al, 2004; Pappas et al., 2009; Senegas et al., 2009; Shiono et al., 2007). This well-characterized immune interplay, along with T. gondii’s established role in congenital infections, makes T. gondii an ideal model of prenatal infection. Both T. gondii strains, Pru and RH, caused significant fetal growth restriction, but the RH strain induced a broader inflammatory response in the fetus, as indicated by high levels of IL-6 and IL-1α in the amniotic fluid. We did not directly assess vertical transmission in this study; however, given the degree of virulence, it would be expected that the RH strain would be vertically transmitted more frequently than Pru infections. Adoptive transfer experiments confirmed that HSPCs themselves were not directly infected, as transplantation of cells infected with even one RH parasite would have resulted in immediate death (Mordue et al, 2001) In this context and given the degree of growth restriction and inflammation induced by congenital RH infection, it is not surprising that we observed a stronger response from fetal HSPCs to congenital RH infection in situ.

Using a poly(I:C)-induced model of maternal immune activation (MIA), we have recently demonstrated that Type I interferon-mediated prenatal inflammation can drive lasting changes to postnatal immune function by specifically activating lymphoid-biased drHSCs (López et al., 2022). In this simplified model of prenatal inflammation, we further demonstrated that the GFP+ drHSC was highly responsive to Type I interferons, causing its inappropriate expansion and persistence into the postnatal period. Our present investigation revealed that Type II interferon γ-mediated inflammation, both in the context of an actual congenital infection and when isolated independently, did not differentiate responses between the Tom+ HSC and GFP+ drHSC in situ. Previous work has shown that the effects of an infection on adult hematopoiesis can differ greatly from the impact of a single cytokine. For example, adult BM HSCs respond very differently to direct infection with cytomegalovirus and vesicular stomatitis virus, viruses that induce a typical Type-1 interferon response, as compared to direct injection with interferon-inducing reagents, such as poly(I:C) (Hirche et al., 2017). Perhaps not surprisingly, despite induction of comparable IFNα levels, viral infections were found to evoke complex inflammatory responses that activated HSCs in a manner independent of IFNAR signaling. To resolve the extent to which the fetal hematopoietic response to maternal T. gondii infection was driven by IFNγ, the primary cytokine mediating immune clearance in T. gondii infection (Suzuki et al, 1988), we compared fetal hematopoiesis after prenatal exposure to both IFNγ and infection with two strains of T. gondii of increasing virulence. Direct injection of IFNγ induced effects on fetal HSCs in vivo and upon transplantation that were similar to those observed in response to the less virulent Pru infection. Hence, it plausible that with a less virulent infection, maternally-derived IFNγ may be the major driver of the HSC response, whereas with more virulent infections other cytokines, such as IL-6 and IL-1α, may further impact HSC function (Mirantes et al, 2014). Indeed, IFNγ was highly upregulated in maternal serum in response to Pru infection. Although IL-1α and IL-1β were more significantly increased in the fetal liver as compared to IFNγ in response to infection, our previous transcriptional analysis of fetal HSPCs suggested that fetal HSPCs were not highly responsive to IL-1 signaling (López et al., 2022).

As opposed to the effect of prenatal infection and direction maternal injection of IFNγ on hematopoiesis in situ, adoptive transfer assays revealed disparate responses of two fetal HSC populations differentiated by the FlkSwitch model: the Tom+ HSC as a more “conventional” putative adult HSC precursor, and the GFP+ Flk2-marked HSC as a transient, lymphoid-biased HSC that functions to give rise to innate-like lymphocytes during fetal development (Beaudin et al., 2016). Whereas distinct responses of each population may be more difficult to parse out among varied responses of HSPCs in vivo, adoptive transfer assays allow dissection of the discrete responses of specific cell types. Despite enhanced proliferation in situ in response to prenatal infection, Tom+ HSCs demonstrated both increased myeloid output upon primary transplantation and sustained output in a secondary transplant setting, even in response to a highly virulent infection. While a myeloid-biased response is akin to observations in adult HSCs in response to infection (Baldridge et al., 2010; Haas et al., 2015; Matatall et al., 2014) sustained output following acute inflammation may be unique to fetal HSCs. In contrast, prenatal infection had a virulence-dependent deleterious effect on function of the GFP+ drHSC. The less virulent Pru infection increased myeloid output resulting in a loss of lymphoid bias, and significantly increased GM and B-cell output in recipients that engrafted upon secondary transplantation. The more virulent RH infection impaired LTMR in primary transplantation and resulted in complete exhaustion in secondary transplantation. The disparate response of two fetal HSC populations may reflect the differential capacity of each to respond directly to distinct inflammatory mediators induced by congenital infection. The response of the Tom+ HSC is more consistent with an adult response, whereas the response of the GFP+ drHSC may be more typical of transient progenitors that may rapidly differentiate to support the immune response to infection. Nonetheless, these responses upon transplantation may also reflect their unique capacity when placed within the bone marrow microenvironment.

To begin to dissect the requirement for IFNγ responsiveness across the maternal-fetal interface, we examined the effect of direct injection of IFNγ in crosses of IFNγR -/- mice. We first confirmed that maternal IFNγ can directly cross the placenta, and also demonstrated that while the fetal IFNγR is required for the HSC response, it is not required for the immediate expansion of more differentiated MPPs. These data have two important implications. First, the persistent response of MPPs in the absence of the fetal IFNγR and the elimination of a direct response of upstream HSCs indicates that MPPs respond to distinct inflammatory cues compared to HSCs, including downstream cytokines induced by maternal IFNγR signaling, such as IL-6 (Biondillo et al, 1994). This finding suggests a highly orchestrated fetal hematopoietic response to inflammation. Second, the expansion of fetal MPPs in response to exogenous IFNγ, even when IFNγR was deleted on the maternal side, indicates that the fetus can mount its own IFNγ-dependent cytokine response capable of activating fetal hematopoietic progenitors independent of the maternal response. Maternal IFNγ signaling still regulates the fetal response, as maternal deletion of IFNγR impaired fetal HSC expansion, even in fetuses with an intact receptor (Fig. 5K). The identity of additional IFNγ-induced factors has yet to be experimentally determined. Another interesting observation was that lack of IFNγ receptor on either the fetal or maternal side caused accumulation of IFNγ in fetal tissues, likely due to lack of uptake by the receptor (Marchetti et al, 2006). These interactions illustrate the complex interface between the fetal and maternal response that is mediated not only by the broad and diverse cytokine response of the mother, but also the discrete and independent cytokine response initiated by the fetus.

Our study is the first of its kind to explore the impact of maternal infection to fetal hematopoiesis. By comparing the effects of a multifaceted infection to the effects of a single cytokine injection on fetal HSPCs, our work begins to narrow down the inflammatory mediators of the hematopoietic response to infection. We also leveraged genetic models to determine if maternal signals, such as IFNγ, cross the fetal-maternal interface and interact directly with fetal hematopoietic cells to drive the hematopoietic response. Our model of maternal infection limited our ability to investigate the effects on postnatal hematopoiesis, as the interferon response induced upon acute infection in mice generally causes fetal demise (Yockey & Iwasaki, 2018). Instead, we used adoptive transfer as a proxy to investigate the long-term functional impact to HSCs. Still, we demonstrate the maternally-derived IFNγ acts directly on fetal HSCs to shape their long-term hematopoietic output without affecting their self-renewal potential. Our data therefore provide a novel mechanism whereby congenital infection might shape postnatal immune responses in offspring by affecting the function and output of developing hematopoietic stem cells.

Methods

Mouse models and husbandry

All mice were maintained in the University of California, Merced and University of Utah vivariums according to Institutional Animal Care and Use Committee (IACUC)-approved protocols.

8-12-week-old female C57BL/6 (RRID: IMSR_JAX:000664) were mated to male FlkSwitch mice (Beaudin et al., 2016; Boyer et al, 2011). At gestation day 14.5, pregnant dams were injected with 20 μg recombinant IFNγ. IFNγ knock out mice (JAX 002287) were used to assess IFNγ transfer across the fetal maternal interface. To investigate the fetal HSC response via the IFNγ receptor, IFNγ receptor knock out (IFNγRKO) mice (JAX 003288) were bred with wildtype C57BL/6J (WT) mice to generate mice with one copy of IFNγR (+/- mice). All saline controls were collected in parallel and published previously in (López et al., 2022). Pregnant dams were euthanized, and fetuses were dissected from the uterine horn. Fetal liver GFP+ (Flkswitch) expression was confirmed by microscopy.

Parasite strains and peritoneal injections

Toxoplasma gondii strains, type I RH Δku80 Δhxgprt (LD100<10) and type II Pru Δhxgprt (LD50= 102-104) (Saeij et al., 2005), were grown in human foreskin fibroblasts (HFFs) and tachyzoites were prepared as described previously (Kongsomboonvech et al, 2020) and administered into pregnant dams via intraperitoneal injection of 2×104 tachyzoites in a volume of 100 μL in 1x PBS.

Cell isolation and identification by flow cytometry

Fetal livers were dissected and pipetted gently in staining media to form a single cell suspension. Cell populations were analyzed using a four-laser FACS Aria III (BD Biosciences). Cells were sorted on the FACS Aria II (BD Biosciences) or III. All flow cytometric analysis was done using FlowJo™. Hematopoietic and mature blood cell populations were identified as follows: Lineage dump or “Lin” for all fetal liver populations (CD3, CD4, CD5, CD8, CD19, Ter-119, Nk1.1, Gr-1, F4/80), LT-HSCs (Lin-, CD45+, cKit+, Sca1+, Flk2-, CD48-, CD150+), ST-HSCs (Lin-, CD45+, cKit+, Sca1+, Flk2-, CD48-, CD150-), Tom+ HSCs, (Lin-, CD45+, cKit+, Sca1+, CD150+, Tom+), GFP+ drHSCs (Lin-, CD45+, cKit+, Sca1+, CD150+, GFP+), MPP2 (Lin-, CD45+, cKit+, Sca1+, Flk2-, CD48+, CD150+), MPP3 (Lin-, CD45+, cKit+, Sca1+, Flk2-, CD48+ CD150-), MPP4 (Lin-, CD45+, CKit+, Sca1+, Flk2+), Granulocyte-Macrophage Progenitor (GMP: cKit+, CD150+, CD41-FcGRII/III+), megakaryocyte progenitor (MP: cKit+, CD150+, CD41+), erythrocyte progenitor (EP: cKit+, CD150+, FcGRII/III-, Endoglin+), granulocyte/macrophage (GM; Ter119-, CD11b+ Gr1+), Common Lymphoid Progenitor (CLP: Lin-, IL7R+, Flk2+, Sca1mid, cKitmid), B-cell (Ter119-, CD11b-, Gr1-, B220+), T-cell (Ter119-, CD11b-, Gr1-, CD3+), Platelet (FSClo, Ter119-, CD61+).

Proliferation of HSCs and MPPs

Fetal liver cells were processed into a single cell suspension and cKit-enriched using CD117 MicroBeads (Miltenyi Biotec, San Diego, CA, USA). The cKit-enriched population was stained with an antibody cocktail for surface markers of hematopoietic stem and progenitor cells. Cells were then fixed and permeabilized with the True-Nuclear Transcription buffer set (Biolegend) and then stained with Ki67-APC (Invitrogen, Carlsbad, CA, USA) and Hoescht 33342 (Invitrogen).

Transplantation assays

Transplantation assays were performed as recently described (López et al., 2022). Briefly, FlkSwitch mice were used as donors for cell isolation and 8-to 12-week-old WT C57BL/6 were used as recipients. Sex of recipients was random and split evenly between male and female.

GFP+ drHSCs and Tom+ HSCs were sorted from fetal liver. Recipient C57BL/6 mice (8-12 weeks) were lethally irradiated using 1000 cGy (split dose, Precision X-Rad 320). 5×105 whole bone marrow cells from untreated age matched C57BL/6 and 200 sorted GFP+ drHSCs or Tom+ HSCs wells were diluted in PBS and transplanted via retro-orbital injection using a 1 mL tuberculin syringe in a volume of 100-200 μL. Peripheral blood chimerism was determined in recipients by blood collection via cheek bleeds every 4 weeks for 16 weeks and cells were analyzed by flow cytometry using the LSRII (BD Biosciences). Long-term multi-lineage reconstitution (LTMR) was defined as chimerism > 1% for each mature blood lineage in the primary transplant and > 0.1% in secondary recipients. At 18 weeks, recipients were euthanized, and BM populations were assessed for chimerism by flow cytometry. 5×106 WBM from fully reconstituted Tom+ HSC primary recipients or 1×107 WBM from GFP+ drHSC primary recipients were transplanted into lethally irradiated secondary recipients. Secondary transplant recipients were monitored for 16 weeks and assessed for peripheral blood output of mature blood cell populations every 4 weeks. At 18 weeks, bone marrow chimerism was assessed by flow cytometry.

Quantitation of cytokines in fetal amniotic fluid and liver

Fetal amniotic fluid was collected from amniotic sacs using a 1 mL tuberculin syringe. Fetuses were dissected and individual fetal livers were homogenized and pelleted to collect supernatant. Supernatant was frozen at -80°C and samples were analyzed on an LSRII (BD Biosciences) following manufacturer recommendations using a custom LEGENDplex™ (Biolegend) bead-based immunoassay for the following cytokines: IL-23, IL-1α, IFNγ, TNF-α, IL-6, IL-1β, IL-10, IL-17A, IL-27, IFNβ, IFNα, and GM-CSF. Data were analyzed with LEGENDplex™ online analysis platform. https://legendplex.qognit.com/

Supplementary Figure Legends

SFigure 1.
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SFigure 1. Inflammation from maternal infection with Toxoplasma gondii modulates fetal growth and hematopoietic development

A) Visual comparison of crown-rump length from E16.5 fetuses from saline and RH infected mothers, as in Figure 1A.

B) Fraction of viable (or “non-resorbed”) fetuses per litter observed in E16.5 litters following saline or infection with Pru or RH; n=4 litters/condition.

C)Representative gating strategy for fetal liver Tom+ HSCs and GFP+ drHSCs at E16.5.

D) Total cellularity of E16.5 fetal liver cells following saline or infection with Pru or RH.

E) Total cellularity of CD45+ cells in fetal liver at E16.5 following saline or infection with Pru or RH. For D and E, each dot represents results from an individual fetus, 4 litters were analyzed per each condition. Data analyzed by one-way ANOVA with Tukey’s test. ** p ≤ 0.01; **** p ≤ 0.0001;.

SFigure 2.
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SFigure 2. Maternal infection with Toxoplasma gondii leads to lasting changes in BM reconstitution of fetal HSCs.

A-M) Bone Marrow (BM) chimerism of A) HSPCs, B) LT-HSCs, C) ST-HSCs, D) MPP2, E) MPP3, F) MPP4, G) granulocyte macrophage progenitors (GMP), H) megakaryocyte progenitors (MkP),

I) erythroid progenitors (EP), J) granulocyte/macrophages (GM), K) common lymphoid progenitors (CLP), L) B-cells, and M) T-cells in primary recipients of Tom+ HSCs or GFP+ drHSCs at 18-weeks post-transplantation.

N-Z) Bone Marrow (BM) chimerism of N) HSPCs, O) LT-HSCs, P) ST-HSCs, Q) MPP2, R) MPP3, S) MPP4, T) granulocyte macrophage progenitors (GMP), U) megakaryocyte progenitors (MkP), V) erythroid progenitors (EP), W) granulocyte/macrophages (GM), X) common lymphoid progenitors (CLP), Y) B-cells, and Z) T-cells in secondary Tom+ HSC or GFP+ drHSC transplant recipients at 18-weeks post-transplant. For all analyses above, bars represent mean+/-SD. Statistical significance was determined by one-way ANOVA with Tukey’s test. * p ≤ 0.015; ** p ≤ 0.01; *** p ≤ 0.001;. No reconstitution was present for the secondary recipients of the GFP+ drHSC.

SFigure 3:
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SFigure 3: Bone marrow chimerism from IFNγ exposed fetal HSCs following transplantation.

A-M) Bone Marrow (BM) chimerism of A) HSPCs, B) LT-HSCs, C) ST-HSCs, D) MPP2, E) MPP3, F) MPP4, G) granulocyte macrophage progenitors (GMP), H) megakaryocyte progenitors (MkP), I) erythroid progenitors (EP), J) granulocyte/macrophages (GM), K) common lymphoid progenitors (CLP), L) B-cells, and M) T-cells in primary recipients of Tom+ HSCs or GFP+ drHSCs at 18-weeks post-transplantation.

N-Z) Bone Marrow (BM) chimerism of N) HSPCs, O) LT-HSCs, P) ST-HSCs, Q) MPP2, R) MPP3,

S) MPP4, T) granulocyte macrophage progenitors (GMP), U) megakaryocyte progenitors (MkP), V) erythroid progenitors (EP), W) granulocyte/macrophages (GM), X) common lymphoid progenitors (CLP), Y) B-cells, and Z) T-cells in secondary recipients of Tom+ HSC or GFP+ drHSCs at 18-weeks post-transplantation. For all experiments above, bars represent mean + SD. Statistical significance was determined by one-way ANOVA with Tukey’s test.* p ≤ 0.015; ** p ≤ 0.01; *** p ≤ 0.001;.

SFigure 4:
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SFigure 4: The role of IFNγ and IFNγR in fetal response

A) Comparison of IFNγ cytokine in E15.5 fetal amniotic fluid between IFNγR +/- and -/- pups from either IFNγR +/- or -/- dams following saline injection.

B) Comparison of IFNγ cytokine in E15.5 fetal amniotic fluid between IFNγR +/- and -/- pups from either IFNγR +/- or -/- dams following IFNγ injection.

C) Comparison of IFNγ cytokine in E15.5 fetal liver supernatant between IFNγR +/- and -/- pups from either IFNγR +/- or -/- dams following saline injection.

D) Comparison of IFNγ cytokine in E15.5 fetal liver supernatant between IFNγR +/- and -/- pups from either IFNγR +/- or -/- dams following IFNγ injection.

E) Comparison of IFNγ cytokine in E15.5 maternal serum between IFNγR +/- and -/- dams following saline or IFNγ injection.

F) Population changes in HSCs and MPPs in IFNγR +/- and -/- pups from either IFNγR +/- or -/- dams following IFNγ injection.

For all experiments above, bars represent mean + SD. Statistical significance was determined by 2-way ANOVA. * p ≤ 0.05; ** p ≤ 0.01; *** p ≤ 0.001; **** p ≤ 0.0001. N=10-14 fetuses from at least 3 litters/condition. ó

Acknowledgements

We thank Drs. Angel Kongsomboonvech, Scott Souza and Juan Sanchez-Arcila for assistance with parasite passaging. We thank Dr. David Gravano at UC Merced’s Stem Cell Instrumentation Foundry (SCIF) for flow cytometry support and James Marvin and the University of Utah Flow Cytometry Core. KJ was funded by grants AI137126 and AI145403. This work was supported by an NIH/NHBLI award K01HL130753 to AEB, the Pew Biomedical Scholars award to AEB, and the Hellman Fellows Award to AEB. DAL is supported by NIH/NICHD training grant T32HD007491. KSO is supported by NIH/NIAID T32 AI138954.

Footnotes

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Fetal hematopoietic stem cells are activated during acute prenatal infection with Toxoplasma gondii and IFNγ
April C. Apostol, Kelly S. Otsuka, Diego A. López, Jasmine Posada, Kirk D.C. Jensen, Anna E. Beaudin
bioRxiv 2022.11.29.518417; doi: https://doi.org/10.1101/2022.11.29.518417
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Fetal hematopoietic stem cells are activated during acute prenatal infection with Toxoplasma gondii and IFNγ
April C. Apostol, Kelly S. Otsuka, Diego A. López, Jasmine Posada, Kirk D.C. Jensen, Anna E. Beaudin
bioRxiv 2022.11.29.518417; doi: https://doi.org/10.1101/2022.11.29.518417

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