Abstract

Inhibition of AB5-type bacterial toxins can be achieved by heterobifunctional ligands (BAITs) that mediate assembly of supramolecular complexes involving the toxin’s pentameric cell membrane-binding subunit and an endogenous protein, serum amyloid P component, of the innate immune system. Effective in vivo protection from Shiga toxin Type 1 (Stx1) is achieved by polymer-bound, heterobifunctional inhibitors-adaptors (PolyBAITs), which exhibit prolonged half-life in circulation and by mediating formation of face-to-face SAP-AB5 complexes, block receptor recognition sites and redirect toxins to the spleen and liver for degradation. Direct correlation between solid-phase activity and protective dose of PolyBAITs both in the cytotoxicity assay and in vivo indicate that the mechanism of protection from intoxication is inhibition of toxin binding to the host cell membrane. The polymeric scaffold influences the activity not only by clustering active binding fragments but also by sterically interfering with the supramolecular complex assembly. Thus, inhibitors based on N-(2-hydroxypropyl) methacrylamide (HPMA) show significantly lower activity than polyacrylamide-based analogs. The detrimental steric effect can partially be alleviated by extending the length of the spacer, which separates pendant ligand from the backbone, as well as extending the spacer, which spans the distance between binding moieties within each heterobifunctional ligand. Herein we report that polymer size and payload of the active ligand had moderate effects on the inhibitor’s activity.

Highlights

  • Enteric infections with Shigatoxigenic Escherichia coli (STEC), the O157:H7 strain, is the leading cause of hemolytic-uremic syndrome (HUS) in industrialized countries [1]

  • Shiga toxins are a group of closely related bacterial toxins that are serologically differentiated into two types, Shiga toxin Type 1 (Stx1) and Stx2 with ~60% homology, and a number of variants differing by just a few amino acids

  • We observed that the inhibitory power of PolyBAITs in a solid-phase assay correlates with the cytotoxicity assay and efficacy in vivo

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Summary

Introduction

Enteric infections with Shigatoxigenic Escherichia coli (STEC), the O157:H7 strain, is the leading cause of hemolytic-uremic syndrome (HUS) in industrialized countries [1]. HUS is a term for an acute form of renal disease that commonly manifests itself as hemolytic anemia, acute renal failure, thrombocytopenia, and central nervous system impairment. Most symptoms of HUS are mediated by exotoxins called Shiga toxins (Stx) that enter the circulation through an eroded intestinal epithelium and are rapidly absorbed in target tissues such as the kidney and the central nervous system, as well as inflicting serious systemic damage [2]. Stx are potent cytotoxins with ribosomal deadenylase activity that cause cell death through activating pro-apoptotic signals by inducing an endoplasmic reticulum stress response in susceptible tissues. The Stx host cell receptor is the Pk trisaccharide head group [Gal(α1-4)Gal(β1-4)Glc(β1-O)] of the glycolipid, Gb3

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