Abstract

Leptospirosis, caused by pathogenic species of Leptospira, is the most widespread zoonosis and has emerged as a major public health problem worldwide. The adhesion of pathogenic Leptospira to host cells, and to extracellular matrix (ECM) components, is likely to be necessary for the ability of leptospires to penetrate, disseminate and persist in mammalian host tissues. Previous work demonstrated that pathogenic L. interrogans binds to host cells more efficiently than to ECM. Using two independent screening methods, mass spectrometry and protein arrays, members of the cadherin family were identified as potential L. interrogans receptors on mammalian host surfaces. We focused our investigation on vascular endothelial (VE)-cadherin, which is widely expressed on endothelia and is primarily responsible for endothelial cell-cell adhesion. Monolayers of EA.hy926 and HMEC-1 endothelial cells produce VE-cadherin, bind L. interrogans in vitro, and are disrupted upon incubation with the bacteria, which may reflect the endothelial damage seen in vivo. Dose-dependent and saturable binding of L. interrogans to the purified VE-cadherin receptor was demonstrated and pretreatment of purified receptor or endothelial cells with function-blocking antibody against VE-cadherin significantly inhibited bacterial attachment. The contribution of VE-cadherin to leptospiral adherence to host endothelial cell surfaces is biologically significant because VE-cadherin plays an important role in maintaining the barrier properties of the vasculature. Attachment of L. interrogans to the vasculature via VE-cadherin may result in vascular damage, facilitating the escape of the pathogen from the bloodstream into different tissues during disseminated infection, and may contribute to the hemorrhagic manifestations of leptospirosis. This work is first to describe a mammalian cell surface protein as a receptor for L. interrogans.

Highlights

  • Leptospirosis is a globally widespread zoonotic infection caused by spirochetes of the genus Leptospira

  • We focused on identification of mammalian cell surface proteins that serve as receptors for Leptospira interrogans

  • Several bands were unique to the fractions with L. interrogans binding activity; we profiled 16 bands that were well-separated in the gels and reproducible between two independent fractionations of EA.hy926 cells

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Summary

Introduction

Leptospirosis is a globally widespread zoonotic infection caused by spirochetes of the genus Leptospira. The disease in humans varies from a mild, non-specific, self-limited illness to an acute lifethreatening infection (Weil’s disease) with kidney failure, myocarditis, liver dysfunction, and sometimes pulmonary hemorrhage. Both domesticated and wild animals can serve as reservoirs from which humans acquire the disease, either through direct contact with the animals’ tissue or fluids, or indirectly through contact with water or mud containing leptospires shed by reservoir animals in the urine. Infected reservoir animals harbor the spirochete in the proximal convoluted tubules of the kidney and chronically excrete Leptospira through the urine. Even if cell specific binding by L. biflexa is seen, it is less efficient than that by L. interrogans. We focused on identification of mammalian cell surface proteins that serve as receptors for Leptospira interrogans

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