Abstract

Some bacterial toxins and viruses have evolved the capacity to bind mammalian glycosphingolipids to gain access to the cell interior, where they can co-opt the endogenous mechanisms of cellular trafficking and protein translocation machinery to cause toxicity. Cholera toxin (CT) is one of the best-studied examples, and is the virulence factor responsible for massive secretory diarrhea seen in cholera. CT enters host cells by binding to monosialotetrahexosylganglioside (GM1 gangliosides) at the plasma membrane where it is transported retrograde through the trans-Golgi network (TGN) into the endoplasmic reticulum (ER). In the ER, a portion of CT, the CT-A1 polypeptide, is unfolded and then “retro-translocated” to the cytosol by hijacking components of the ER associated degradation pathway (ERAD) for misfolded proteins. CT-A1 rapidly refolds in the cytosol, thus avoiding degradation by the proteasome and inducing toxicity. Here, we highlight recent advances in our understanding of how the bacterial AB5 toxins induce disease. We highlight the molecular mechanisms by which these toxins use glycosphingolipid to traffic within cells, with special attention to how the cell senses and sorts the lipid receptors. We also discuss several new studies that address the mechanisms of toxin unfolding in the ER and the mechanisms of CT A1-chain retro-translocation to the cytosol.

Highlights

  • Bacterial toxins must access their cytosolic targets by translocating across a cell membrane (Inoue et al, 2011)

  • In the endoplasmic reticulum (ER), the enzymatically active portion of the A-subunit, termed the A1-chain, co-opts the machinery located in the ER lumen to manage terminally misfolded proteins in the secretory pathway, which unfolds and retro-translocates the A1-chain to the cytosol

  • Toxicity is caused by ADPribosylation of the heterotrimeric G protein, Gsα that leads to constant activation of adenylyl cyclase and strong increases in cAMP intracellular levels

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Summary

CELLULAR AND INFECTION MICROBIOLOGY

The University of Georgia, USA Vernon L. Texas A&M University Health Science Center, USA. Some bacterial toxins and viruses have evolved the capacity to bind mammalian glycosphingolipids to gain access to the cell interior, where they can co-opt the endogenous mechanisms of cellular trafficking and protein translocation machinery to cause toxicity. CT-A1 rapidly refolds in the cytosol, avoiding degradation by the proteasome and inducing toxicity. We highlight recent advances in our understanding of how the bacterial AB5 toxins induce disease. We highlight the molecular mechanisms by which these toxins use glycosphingolipid to traffic within cells, with special attention to how the cell senses and sorts the lipid receptors. We discuss several new studies that address the mechanisms of toxin unfolding in the ER and the mechanisms of CT A1-chain retro-translocation to the cytosol

INTRODUCTION
Cellular and molecular aspects
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