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Originally published In Press as doi:10.1074/jbc.M206351200 on August 19, 2002

J. Biol. Chem., Vol. 277, Issue 43, 40567-40574, October 25, 2002
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Shiga-like Toxin Inhibition of FLICE-like Inhibitory Protein Expression Sensitizes Endothelial Cells to Bacterial Lipopolysaccharide-induced Apoptosis*

Ryan D. ErwertDagger , Robert K. Winn§, John M. HarlanDagger , and Douglas D. Bannerman||

From the Departments of Dagger  Medicine and § Surgery, University of Washington School of Medicine, Seattle, Washington 98104 and  Immunology and Disease Resistance Laboratory, United States Department of Agriculture-Agricultural Research Service, Beltsville, Maryland 20705

Shiga-like toxin (SLT) has been implicated in the pathogenesis of hemolytic uremic syndrome and its attendant endothelial cell (EC) injury. Key serotypes of Escherichia coli produce SLT-1 in addition to another highly pro-inflammatory molecule, lipopolysaccharide (LPS). It has previously been established that SLT-1 induces EC apoptosis and that LPS enhances this effect. LPS alone has no affect on human EC viability, and the mechanism for this enhancement remains unknown. In the present report, we demonstrate that SLT-1 sensitizes EC to LPS-induced apoptosis. Pretreatment with SLT-1 sensitized EC to LPS-induced apoptosis, whereas pretreatment with LPS did not influence SLT-1-induced apoptosis. SLT-1 exposure resulted in decreased expression of FLICE-like inhibitory protein (FLIP), an anti-apoptotic protein that has previously been shown to block LPS-induced apoptosis. This SLT-1-mediated decrease in FLIP expression preceded the onset of apoptosis elicited by SLT-1 alone or in combination with LPS. SLT-1-mediated decrements in FLIP expression correlated in a dose- and time-dependent manner with sensitization to LPS-induced apoptosis. Finally, transient or stable overexpression of FLIP protected against LPS enhancement of SLT-1-induced apoptosis, and this protection corresponded with sustained expression of FLIP. Together, these data suggest that SLT-1 sensitizes EC to LPS-induced apoptosis by inhibiting FLIP expression.


* This work was supported by National Institutes of Health Grants GM07037, GM42686, HL18645, and HL03174.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

|| To whom correspondence should be addressed: Immunology and Disease Resistance Laboratory, USDA Agricultural Research Service/ANRI, BARC-East, Bldg. 1040, Rm. 2, Beltsville, MD 20705-2350. Tel.: 301-504-5066; Fax: 301-504-9498; E-mail: dbanner@anri.barc.usda.gov.


Copyright © 2002 by The American Society for Biochemistry and Molecular Biology, Inc.
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