Abstract
Vascular leakage pathologies such as pleural effusion and hemorrhage are hallmarks of anthrax pathogenesis. We previously reported that anthrax lethal toxin (LT), the major virulence factor of anthrax, reduces barrier function in cultured primary human microvascular endothelial cells. Here, we show that LT-induced barrier dysfunction is accompanied by the reduced expression of the endothelial tight junction (TJ) protein claudin-5 but no change in the expression of other TJ components occludin, ZO-1, ZO-2, or the adherens junction (AJ) protein VE-cadherin. The downregulation of claudin-5 correlated temporally and dose-dependently with the reduction of transendothelial electrical resistance. LT-induced loss of claudin-5 was independent of cell death and preceded the appearance of actin stress fibers and altered AJ morphology. Pharmacological inhibition of MEK-1/2, two kinases that are proteolytically inactivated by LT, showed a similar reduction in claudin-5 expression. We found that LT reduced claudin-5 mRNA levels but did not accelerate the rate of claudin-5 degradation. Mice challenged with LT also showed significant reduction in claudin-5 expression. Together, these findings support a possible role for LT disruption of endothelial TJs in the vascular leakage pathologies of anthrax.
Highlights
Inhalational anthrax is a disease caused by inhaling spores of the gram-positive bacterium Bacillus anthracis
Endothelial barrier function was assessed by measuring transendothelial electrical resistance (TEER) over the course of 72 hours in monolayers treated with lethal factor (LF) or protective antigen (PA) alone, or the combination of PA with increasing concentrations of LF (LT)
Animals treated with purified lethal toxin (LT) succumb to vascular collapse suggesting that the targeting of endothelium by LT may contribute to the pathophysiology of anthrax [13,14,15,36]
Summary
Inhalational anthrax is a disease caused by inhaling spores of the gram-positive bacterium Bacillus anthracis. Many of the symptoms of systemic inhalational anthrax can be attributed to the action of anthrax toxin, which is made up of three secreted proteins; protective antigen (PA), lethal factor (LF), and edema factor (EF). LF and PA combine to form lethal toxin (LT), while EF combines with PA to form edema toxin [1]. PA binds to the cell surface receptors ANTXR1 and ANTXR2, leading to endocytosis of the enzymatic moieties EF and LF [1,2]. ANTXR2 appears be the main contributor to lethality in vivo with an 11-fold higher affinity for PA than ANTXR1 [3,4]. Serum levels of LF, EF, and PA can exceed microgram per ml quantities during a systemic infection [6,7,8]
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