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Originally published In Press as doi:10.1074/jbc.M512720200 on March 2, 2006
J. Biol. Chem., Vol. 281, Issue 16, 10808-10815, April 21, 2006
Cholesterol-dependent Pore Formation of Clostridium difficile Toxin A*
Torsten Giesemann ,
Thomas Jank ,
Ralf Gerhard ,
Elke Maier¶,
Ingo Just ,
Roland Benz¶, and
Klaus Aktories 1
From the
Institut für Experimentelle und Klinische Pharmakologie und Toxikologie, Albert-Ludwigs-Universität Freiburg, D-79104 Freiburg, Germany, Institut für Toxikologie der Medizinischen Hochschule Hannover, D-30625 Hannover, Germany, and ¶Lehrstuhl für Biotechnologie, Biozentrum, Am Hubland, D-97074 Würzburg, Germany
The large clostridial cytotoxins toxin A and toxin B from Clostridium difficile are major virulence factors known to cause antibiotic-associated diarrhea and pseudomembranous colitis. Both toxins mono-glucosylate and thereby inactivate small GTPases of the Rho family. Recently, it was reported that toxin B, but not toxin A, induces pore formation in membranes of target cells under acidic conditions. Here, we reassessed data on pore formation of toxin A in cells derived from human colon carcinoma. Treatment of 86Rb+-loaded cells with native or recombinant toxin A resulted in an increased efflux of radioactive cations induced by an acidic pulse. The efficacy of pore formation was dependent on membrane cholesterol, since cholesterol depletion of membranes with methyl- -cyclodextrin inhibited 86Rb+ efflux, and cholesterol repletion reconstituted pore-forming activity of toxin A. Similar results were obtained with toxin B. Consistently, methyl- -cyclodextrin treatment delayed intoxication of cells in a concentration-dependent manner. In black lipid membranes, toxin A induced ion-permeable pores only in cholesterol containing bilayers and at low pH. In contrast, release of glycosylphosphatidylinositol-anchored structures by phosphatidylinositol specific phospholipase C treatment did not reduce cell sensitivity toward toxins A and B. These data indicate that in colonic cells toxin A induces pore formation in an acidic environment (e.g. endosomes) similar to that reported for toxin B and suggest that pore formation by clostridial glucosylating toxins depends on the presence of cholesterol.
Received for publication, November 29, 2005
, and in revised form, February 13, 2006.
* The study was supported by Deutsche Forschungsgemeinschaft Project Ak 6/16-1, Bundesministerium für Bildung und Forschung research group Klinische Infektiologie Freiburg, TP 1a, Deutsche Forschungsgemeinschaft Grant SFB 621 Project B5 (to R. G.), SFB 487 Project A5 (to R. B.), European Concerted Action Grant QLK-CT2001-01267 (to I. J.), and the Fonds der Chemischen Industrie. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 To whom correspondence should be addressed: Institut für Experimentelle und Klinische Pharmakologie und Toxikologie der Albert-Ludwigs-Universität Freiburg, Albert-Strasse 25, D-79104 Freiburg, Germany. Tel.: 49-761-2035301; Fax: 49-761-2035311; E-mail: Klaus.Aktories{at}pharmakol.uni-freiburg.de.

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Copyright © 2006 by the American Society for Biochemistry and Molecular Biology.
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