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Originally published In Press as doi:10.1074/jbc.M001530200 on April 3, 2000

J. Biol. Chem., Vol. 275, Issue 24, 18407-18417, June 16, 2000
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CaCo-2 Cells Treated with Clostridium perfringens Enterotoxin Form Multiple Large Complex Species, One of Which Contains the Tight Junction Protein Occludin*

Usha SinghDagger , Christina M. Van Itallie§, Laura L. Mitic, James M. Anderson§, and Bruce A. McClaneDagger ||

From the Dagger  Department of Molecular Genetics and Biochemistry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15261, the § Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06511, and the  Department of Cell Biology, Yale University School of Medicine, New Haven, Connecticut 06511

Received for publication, February 23, 2000, and in revised form, March 23, 2000

    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

The previous model for the action of Clostridium perfringens enterotoxin (CPE) proposed that (i) CPE binds to host cell receptor(s), forming a small (~90 kDa) complex, (ii) the small complex interacts with other eucaryotic protein(s), forming a large (~160 kDa) complex, and (iii) the large complex triggers massive permeability changes, thereby inducing enterocyte death. In the current study, Western immunoblot analysis demonstrated that CPE bound to CaCo-2 human intestinal cells at 37 °C forms multiple large complex species, with apparent sizes of ~200, ~155, and ~135 kDa. These immunoblot experiments also revealed that occludin, an ~65-kDa tight junction protein, is present in the ~200-kDa large complex but absent from the other large complex species. Immunoprecipitation studies confirmed that occludin physically associates with CPE in large complex material and also indicated that occludin is absent from small complex. These results strongly suggest that occludin becomes associated with CPE during formation of the ~200-kDa large complex. A postbinding association between CPE and occludin is consistent with the failure of rat fibroblast transfectants expressing occludin to bind CPE in the current study. Those occludin transfectants were also insensitive to CPE, strongly suggesting that occludin expression is not sufficient to confer CPE sensitivity. However, the occludin-containing, ~200-kDa large complex may contribute to CPE-induced cytotoxicity, because nontoxic CPE point mutants did not form any large complex species. By showing that large complex material is comprised of several species (one containing occludin), the current studies indicate that CPE action is more complicated than previously appreciated and also provide additional evidence for CPE interactions with tight junction proteins, which could be important for CPE-induced pathophysiology.

    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Clostridium perfringens is a Gram-positive, endospore-forming, anaerobic bacterium that produces a plethora of protein toxins, including a 35-kDa single polypeptide named C. perfringens enterotoxin (CPE).1 Considerable experimental and epidemiologic evidence (1-3) now implicates CPE as the virulence factor responsible for the diarrheal and cramping symptoms of several important human gastrointestinal illnesses, which include C. perfringens type A food poisoning, the second most commonly reported foodborne disease in the United States, and non-foodborne diarrheal illnesses, such as antibiotic-associated diarrhea and sporadic diarrhea.

CPE appears to induce its gastrointestinal effects (at least in large part) through a multi-step, cytotoxic action that initiates when the toxin binds to one or more protein receptors (4-7). Binding of CPE to its receptor(s) results in the formation of a small (~90 kDa) CPE-containing complex in the plasma membrane of sensitive mammalian cells (4). The small complex then apparently associates with one or more additional eucaryotic plasma membrane proteins, forming a large (~160 kDa) complex (4, 8-10). Formation of large complex causes the development of massive plasma membrane permeability alterations (5, 6, 11, 13), which collapse the cellular-osmotic equilibrium (14) and trigger cell death (15, 16). In the intestines, CPE-induced death of enterocytes produces histologic damage (17, 18), which appears to be largely responsible for the onset of the intestinal fluid and electrolyte transport disturbances that clinically manifest as diarrhea during CPE-associated gastrointestinal illness (17, 18).

Several independent observations have strongly suggested that large complex formation plays a central role in the CPE cytotoxic pathway. For example, the failure of CPE to induce cytotoxic effects at 4 °C has been ascribed to a specific blockage in large complex formation at low temperatures (10). Second, a close correlation has been demonstrated between the cytotoxic activity and large complex forming ability of various CPE deletion fragments (19). The importance of large complex formation for CPE action has also received support from recent random mutagenesis studies (20), which showed that introduction of several point mutations into the region of native CPE containing amino acids 45-116 produced a strong inhibition or elimination of cytotoxic activity. The reduced (or absent) cytotoxic activity of those CPE point mutants was found to specifically correlate with a sharp reduction, if not total inhibition, in the large complex forming ability of each CPE mutant.

The availability of strong evidence supporting the importance of large complex in CPE-induced pathophysiology implies that elucidating large complex formation is necessary for fully understanding CPE action. Although clarifying the process of large complex formation requires the identification of all eucaryotic protein constituents of CPE-containing large complex, only limited information is currently available concerning the composition of large complex. Affinity chromatography experiments (9, 21, 22) have suggested that eucaryotic plasma membrane proteins of ~45-50 and ~65-70 kDa are present in large complex. More recently, expression cloning experiments have suggested that certain claudins that can function as CPE receptors (8, 23-25) may also be present in large complex.

The recent association of claudin(s) with CPE-containing large complex potentially provides some new insights into the eucaryotic protein constituents of large complex. For example, it has been reported (26) that claudins, which are believed to primarily localize to epithelial TJs, can interact with occludin, which is an ~65-kDa protein that also localizes to TJs. Reports of associations between claudins and occludin, coupled with affinity chromatography results suggesting that an ~65-70 kDa protein is present in large complex, led us to hypothesize that occludin may be an eucaryotic component of CPE-containing large complex. However, when that hypothesis was tested in the current study, surprising results were obtained; several heterogeneous species of CPE-containing large complex were identified, only one of which contains occludin.

    EXPERIMENTAL PROCEDURES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Materials

Previously described methods (27) were used to purify native CPE to homogeneity from C. perfringens strain NCTC 8239 and to assay the biological activity of the resultant purified toxin. Aliquots (2 mg) of the purified native CPE were radioiodinated as described previously (5), using lactoperoxidase-glucose oxidase (Bio-Rad) and 2 mCi of Na125I (17 mCi/mg; ICN radiochemicals). Using previously described assays (5), the radiolabeled CPE preparation was determined to retain binding and cytotoxic activity.

Rabbit polyclonal antibody raised against a fusion protein consisting of the C-terminal 150 amino acids of human occludin fused to glutathionine S-transferase was purchased from Zymed Laboratories Inc. NRS IgG was purchased from Sigma. Acrylic beads containing immobilized protein A were purchased from Sigma.

Cell Cultures

CaCo-2 human intestinal carcinoma cells were routinely maintained at 37 °C in minimal essential Eagle's medium (Sigma) containing 10% fetal bovine serum (Life Technologies), 1% minimal essential medium nonessential amino acids (Sigma), 100 units/ml penicillin, and 100 µg/ml streptomycin.

Rat-1/R12 cells used in these experiments were obtained from the American Type Culture Collection (CRL-2210, Manassas, VA). Rat-1/R12 cells are Rat-1 fibroblast cells stably transfected with pUHD15-1neo, which contains a tetracycline transactivator gene and a neomycin resistance gene. These cells are tet-off cells, i.e. expression of the transactivator gene is repressed by tetracycline or doxycycline. Rat-1/R12 cells do not naturally express occludin, as determined by Western blot analysis (see "Results").

To prepare Rat-1/R12 cells expressing occludin, the occludin cDNA insert from the pCB6 occludin vector, prepared previously (28), was subcloned into the EcoRI/XbaI sites on the pTRE vector (CLONTECH). That pTRE construct, named pTRE-occ, also encodes the addition of an 11-amino acid VSV-G tag to the cytoplasmic C terminus of occludin. The pTRE-occ vector, along with the pTKhyg hygromycin resistance vector (CLONTECH), was then transfected into Rat-1/R12 cells (at a ratio of 20:1 pTRE-occ to pTKhyg) using LipofectAMINE (Life Technologies, Inc.). Stable transfectants were selected in 200 µg/ml G418 and 200 µg/ml hygromycin. A clonal cell line, named FL-22, which showed lower basal levels of occludin expression in the presence of doxycycline (40 ng/ml) but greater occludin expression in the absence of doxycycline, was selected for further culture. Both the parental Rat-1/R12 cells and the FL-22 cells were routinely grown in Dulbecco's modified Eagle's medium (Sigma), with 10% tet-off certified system fetal bovine serum (CLONTECH).

Immunofluoresence Localization of Occludin in FL-22 Cells

Immunofluorescence analysis was performed to determine where occludin localizes in FL-22 cells. Taking advantage of the fact that the occludin expressed by FL-22 cells is tagged at its C terminus with a VSV-G tag, occludin localization in FL-22 cells was evaluated using monoclonal antibody P5D4, an anti-VSV-G monoclonal antibody described previously (29), which was kindly supplied by Dr. Thomas Kreis (University of Geneva, Switzerland). After treatment with monoclonal antibody P5D4, FL-22 cells were reacted with affinity-purified, species-specific Texas Red anti-mouse IgG secondary antibodies (diluted 1:100), which were purchased from Jackson Immunoresearch. Fixation, permeabilization, quenching, and image capture was performed as described previously (29).

ZO-1 localization in FL-22 cells was used as a marker for identifying cell contact regions (30). FL-22 cells were subjected to immunofluorescence analysis using a ZO-1 primary antibody (1:350 dilution) purchased from Zymed Laboratories Inc. The secondary antibody used to detect binding of ZO-1 antibodies was an affinity-purified, species-specific, fluroscein isothiocyanate-conjugated donkey anti-mouse IgG (Jackson Immunoresearch), used at a 1:100 dilution.

Large Complex Western Immunoblots

Confluent (5-8 days old) CaCo-2 cells were removed from tissue culture flasks by gentle scraping. After washing with warm PBS (140 mM NaCl, 9 mM Na2HPO4, 1.5 mM KH2PO4, pH 7.4) containing 0.9 mM CaCl2 and 0.5 mM MgCl2, an aliquot (2 × 106) of the washed CaCo-2 cells was suspended in 200 µl of PBS containing Ca2+ and Mg2+. CPE (0.5 µg) was then added, and the resultant mixtures were incubated (with gentle shaking) at 37 °C for desired time periods. After incubation, the cells were washed with PBS containing Ca2+ and Mg2+, treated with 10 µl of DNase (1 mg/ml stock; Roche Molecular Biochemicals), extracted with 100 µl of 2× SDS sample buffer without beta -mercaptoethanol (4) at room temperature for 10 min, and analyzed by SDS-PAGE Western blots (see below). In some experiments (see Fig. 3), CaCo-2 cells were prepared and treated with CPE as described above, except that unbound CPE was removed from these cultures after 10 min. Those CPE-treated cultures were then washed with warm PBS containing Ca2+ and Mg2+ and further incubated in CPE-free minimal essential Eagle's medium at 37 °C for an additional 10-80 min.

Samples containing extracted large complex were electrophoresed (without sample boiling) at either 30 mA for 3 h on 6% polyacrylamide gels containing SDS or at 4 mA overnight on 4% polyacrylamide gels containing SDS. The separated proteins on those gels were then electrotransferred onto a nitrocellulose membrane, blocked with Blotto (5% powdered milk in Tris-buffered saline, pH 7.5), and incubated with either affinity-purified anti-CPE rabbit polyclonal IgG, prepared as described (20), or with affinity-purified polyclonal rabbit antibodies raised against the C-terminal region of human occludin (Zymed Laboratories Inc.). The immunoblots were then treated with a 1:10,000 dilution of goat anti-rabbit IgG-horseradish peroxidase conjugate (Sigma) and developed with chemiluminescent substrate (Pierce), as described previously (20).

Isolation of Large Complexes by Preparative Electrophoresis

Scraped CaCo-2 cells (~5 × 107) in 5 ml of PBS containing Ca2+ and Mg2+ were incubated with 12.5 µg of CPE for 20 min at 37 °C to form large complex (9, 10). Control CaCo-2 cells were prepared similarly, except that they were incubated without CPE. Both the CPE-treated and control CaCo-2 cell samples were then extracted for 10 min at room temperature with 2.5 ml of 2× SDS sample buffer (without beta -mercaptoethanol). The resultant extracts were separately electrophoresed overnight at 8 mA on preparative scale (1.5 mm thick), 4% acrylamide gels containing SDS.

After electrophoresis, an ~3-cm-wide vertical strip was cut from both the large complex-containing and control gels. To identify where the two major CPE-containing large complex species (see "Results") were localized in each gel strip, proteins present in the strips were electrotransferred onto nitrocellulose membranes, and those membranes were immunoblotted with anti-CPE antibody. Horizontal gel slices corresponding to the location (if present) of each large complex species were then carefully excised from both the large complex-containing and the control preparative gels. To reduce contamination of the gel slice containing the ~155-kDa complex by the ~135-kDa complex or smaller proteins, only the upper half of the band containing the ~155-kDa large complex was excised from preparative gels.

Proteins in the excised gel slices were then electroeluted, as described previously (31). Briefly, each gel slice was inserted into a sack of Spectra Pore 3 dialysis membrane (Spectrum; molecular mass cut-off, 3,500 Da) containing 25 mM Tris, 0.192 M glycine, 0.1% (w/v) SDS, pH 8.3. These sacks were then sealed and electrophoresed at 50 mA for 3 h at 4 °C. Eluted proteins were removed from the dialysis sacks and concentrated to a final volume of 200 µl, using Centricon 3 microconcentrators (Amicon), before storage at -20 °C.

Prior to electrophoresis, a 100-µl aliquot of each eluted protein sample, along with 100 µl of freshly prepared SDS lysate of CaCo-2 cells, was treated with 6 M urea and 2× SDS sample buffer (with beta -mercaptoethanol) at 90 °C for 20 min. Those samples were then boiled for 5 min to further denature proteins. The denatured samples were then electrophoresed, along with prestained markers (Bio-Rad), on 10% acrylamide gels containing SDS. The separated proteins on those gels were transferred onto nitrocellulose membranes, which were blocked with Blotto and immunoblotted with either anti-CPE antibody or anti-occludin antibody, as described earlier.

Immunoprecipitation Analyses

Immunoprecipitation of Small Complex-- To form small complex in the absence of appreciable levels of large complex (4), scraped CaCo-2 cells (~2.6 × 107 cells) were suspended in cold PBS containing Ca2+ and Mg2+. A 200-µl aliquot of that cell suspension was treated with 0.5 µg of 125I-CPE, in the presence of a 100-fold excess of unlabeled CPE, for 5 min at 4 °C. The remainder of the cell suspension was treated with only 0.5 µg of 125I-CPE for 5 min at 4 °C. As a control, CaCo-2 cells (2.4 × 106) were similarly incubated for 5 min at 4 °C in PBS containing Ca2+ and Mg2+ but lacking either 125I-CPE or native CPE. After this initial incubation period, the control and CPE-treated cells were both extracted, in the presence of protease inhibitors (leupeptin and aprotinin, at 10 µg/ml each, along with 1 mM phenylmethylsulfonyl fluoride), with 200 µl of 1% Triton X-100 (Sigma) in PBS for 20 min at 4 °C (4). The extracted material was then aliquoted (200 µl/sample), and each sample was then preincubated with 15 µl of suspended acrylic beads containing protein A (Sigma) for 1 h at 4 °C to reduce nonspecific binding to the beads during our subsequent immunoprecipitation procedure. All but one of these samples were then treated at 4 °C overnight, in the presence of protease inhibitors (as described above), with 20 µg of either affinity-purified rabbit IgG raised against CPE, human occludin antibody, or NRS IgG. The remaining aliquot was incubated similarly, except for the omission of any antibody. To precipitate antigen-antibody complexes, 40 µl of the suspended protein A-coupled acrylic beads were then added to each sample for 2 h at 4 °C. After microcentrifugation, supernatants were removed, mixed with 40 µl of 5× native PAGE sample buffer (4), and then electrophoresed (without sample boiling) on 6% acrylamide gels containing 0.1% Triton X-100. After electrophoresis, those gels were autoradiographed on x-ray film at -80 °C.

The pelleted acrylic beads with bound antibody-antigen complexes were washed four times with PBS containing Ca2+, Mg2, and 0.5% Triton X-100, and a fifth time with PBS containing only Ca2+ and Mg2+. Material bound to the washed beads was eluted by boiling for 5 min in 100 µl of SDS sample buffer (with beta -mercaptoethanol). The boiled bead mixture was then centrifuged, and the resultant supernatant was analyzed using 10% acrylamide gels containing SDS. Those gels were then subjected to Western immunoblotting using antibodies raised against the C terminus of human occludin, as described earlier. The blots were then stripped of occludin antibody using antibody elution buffer (Pierce) and reprobed by Western blotting using anti-CPE IgG, as described earlier.

Immunoprecipitation of Large Complex-- Scraped CaCo-2 cells (2.4 × 107) were treated with CPE (6 µg) for 20 min at 37 °C to allow formation of large complex. These CPE-treated cells, along with similarly prepared control (non-CPE-treated) Caco-2 cells, were then extracted with 1% Triton X-100 in PBS containing Ca2+ and Mg2+ for 20 min at room temperature in the presence of protease inhibitors (leupeptin and aprotinin, both at 10 µg/ml, as well as phenylmethylsulfonyl fluoride, at 1 mM). After microcentrifugation of these mixtures, the supernatant was aliquoted into nine tubes, which were each preincubated with 15 µl of acrylic beads coupled with protein A for 1 h at 4 °C. After the beads were removed by centrifugation, the supernatant was aliquoted; one supernatant sample was then kept at 4 °C without the addition of any antibody. The remaining supernatant samples were incubated overnight at 4 °C, either without any antibody or with 20 µg of affinity-purified polyclonal rabbit IgG antibodies raised against purified CPE, rabbit polyclonal antibodies raised against the C-terminal region of human occludin, or NRS IgG.

After this overnight incubation, 40 µl of a suspension containing acrylic beads coupled with protein A were then added to each sample, and the samples were further incubated for 2 h at 4 °C to precipitate antibody-antigen complexes. These samples were then microcentrifuged, and the pelleted acrylic beads were washed four times with PBS containing Ca2+, Mg2+, and 0.5% Triton X-100 and one time with PBS containing Ca2+ and Mg2+, but no Triton X-100. The washed beads were then boiled for 5 min in 2× SDS sample buffer, and the eluted proteins in the boiled samples were electrophoresed on 10% acrylamide gels containing SDS. Western blotting with occludin antibodies was then performed on these gels, as described above.

Analysis of the Large Complex Forming Ability of rCPE and Attenuated rCPE Mutants

Recombinant Escherichia coli transformants expressing rCPE or a G49D, S59L, or R116S rCPE point mutant were prepared in a previous study (20). These four rCPE species, all of which contain a six-histidine tag, were employed in the current study on the basis of previous characterization studies (20) showing that (i) rCPE retains all toxic properties of native CPE, (ii) the R116S mutant is strongly attenuated for toxicity because of decreased large complex forming ability, and (iii) the G49D and S59L point mutants are completely nontoxic, because of their inability to form large complex.

Recombinant E. coli expressing the desired rCPE species were cultured in 5 liters of SOB medium containing ampicillin (100 µg/ml). After centrifugation and sonication, the resultant lysates were chromatographed over a Talon resin affinity column. The amount of rCPE species present in each affinity-enriched preparation was then determined by Western blotting, as described previously (20). To quantitate the amount of rCPE species present in each affinity-enriched preparation, densitometric scans were performed on each Western blot with a Scan Jet Plus (Hewlett Packard), using the Deskscan II 2.3 program. Peak area integrations were determined using one-dimensional Process and Report Program (Zeineh Biomedical Instruments). These quantitative Western immunoblot analysis also indicated that rCPE species represented at least 60-70% of the total protein present in each affinity-enriched sample.

Scraped CaCo-2 cells (2 × 106) were treated for 20 min at 37 °C with 0.5 µg of either rCPE, an attenuated rCPE mutant, or native CPE. These CaCo-2 cells were then extracted with SDS sample buffer, and extracts were run (without sample boiling) on 4% acrylamide gels containing SDS. The gels were then Western blotted with CPE antibody, as described above.

Analysis of 125I-CPE Binding to CaCo-2, Rat-1/R12, and FL-22 Occludin Transfectants

FL-22 occludin transfectants, Rat-1/R12 parental cells, or CaCo-2 cells were inoculated into 60-mm tissue culture dishes (Falcon) at a density of 106/dish and grown to confluency (~4-6 days). These confluent cultures were washed twice with warm HBSS and then treated for 15 min at either 37 °C or room temperature with 3 ml of warm HBSS containing 125I-CPE (0.5 µg), with or without a 100-fold excess of unlabeled CPE. After this CPE treatment, each culture was washed twice with HBSS, and adherent cells were scraped from dishes in 2 ml of HBSS and combined with nonadherent cells (if any) collected during washing. The total number of cells present in each sample was then counted using a hemocytometer, and the radiation associated with these samples was determined using a gamma  counter (Packard). As described previously (5), 125I-CPE specific binding was then calculated by subtracting radioactive counts present in cell samples that had been co-treated with a 100-fold excess of unlabeled CPE (nonspecific binding) from radioactive counts present in similar cell samples that had received only 125I-CPE treatment (total binding). Specific binding always represented >60% of total binding for CaCo-2 cells.

86Rb Release Assay to Determine the CPE Sensitivity of FL-22 Occludin Transfectants

24-Well plates (Corning) containing confluent monolayers of FL-22, parental Rat-1/R12 liver fibroblast cells, or CaCo-2 cells were labeled with 4 µCi/well of 86RbCl (NEN Life Science Products) for 2 h at 37 °C. After this radiolabeling, the cultures were washed twice with warm HBSS and then incubated at 37 °C for 15 min with 2 ml of warm HBSS containing increasing amounts (0.5-16 µg) of native CPE. After that CPE treatment, the culture supernatant was removed, and supernatant radioactivity was counted in a Beckman gamma  counter.

As described previously (5), the percentage of maximal 86Rb release induced by CPE treatment was calculated as 100 × (86Rb release in CPE-treated wells - spontaneous 86Rb release)/(maximal 86Rb release -spontaneous 86Rb release). Maximal release corresponds to the total cytoplasmic radioactivity present at the start of each experiment and was always ~5 × 104 cpm/well. Spontaneous release represents the radioactivity released from monolayers in the absence of CPE treatment and was always ~1 × 104 cpm/well.

    RESULTS
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

CPE Western Immunoblot Analysis of Large Complex Formation by CaCo-2 Cells Treated with CPE at 37 °C-- Previous studies (4, 32) have shown that CaCo-2 cells are sensitive to CPE, suggesting that human intestinal cell line represents an especially germane in vitro model for studying CPE action. However, before CaCo-2 cells become widely employed for in vitro studies of CPE action, it was important to demonstrate that those cells exhibit similar responses to CPE treatment as other in vitro models of CPE action. Prior to our current study, it had already been established that CaCo-2 cells can specifically bind CPE and form CPE-containing small complex (4).

However, it had not yet been determined whether CaCo-2 cells treated with CPE at 37 °C form CPE-containing large complex. Therefore, the initial experiment of our current study utilized a well established CPE Western immunoblot assay (19, 20) to evaluate large complex formation by CaCo-2 cells treated with CPE at 37 °C. Results from that CPE Western immunoblot analysis indicated that SDS extracts from CaCo-2 cells treated with CPE at 37 °C contain significant levels of material that reacts with CPE antibodies and migrates more slowly than free CPE (Fig. 1A, compare lanes 1-4 with CPE lane). Formation of that high Mr, immunoreactive material required the presence of CaCo-2 cells, because similar high Mr material was not detected when 0.5 µg (Fig. 1A, CPE lane) or more (data not shown) of free CPE was subjected to CPE Western blotting, i.e. the high Mr, immunoreactive material shown in lanes 1-4 of Fig. 1A does not represent CPE aggregates. Furthermore, no high Mr material that reacts with CPE antibodies was present in similarly prepared SDS extracts from control (i.e. non-CPE-treated) CaCo-2 cells (Fig. 1A, cells lane), strongly suggesting that the high Mr, immunoreactive material detected in CPE-treated cells does not result from nonspecific cross-reactivity between CPE antibodies and a CaCo-2 cell protein(s).


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Fig. 1.   Western immunoblot analysis (6% acrylamide, SDS-containing gels, without sample boiling) of SDS extracts from CPE-treated CaCo-2 cells. CaCo-2 cells were treated with CPE (0.5 µg) for 20 min at 37 °C, extracted with SDS buffer, electrophoresed on 6% acrylamide gels containing SDS (no sample boiling), and then Western immunoblotted with either CPE antibodies (A) or occludin antibodies (B). Lanes 1-4 of A and B contain 5, 10, 50, and 100 µl, respectively, of SDS extracts from CPE-treated CaCo-2 cells. The Cells lane of both panels contains 50 µl of SDS extracts from control (non-CPE-treated) CaCo-2 cells. The arrow in B indicates the location of high Mr, occludin antibody-reactive material induced by CPE treatment.

On the 6% acrylamide gels containing SDS (no sample boiling) that were used in our Fig. 1 experiment, the high Mr, CPE antibody-reactive material present in CaCo-2 cells treated with CPE at 37 °C appears to migrate as an ~160-kDa species, matching previous size estimates of the CPE-containing large complex formed in both rabbit intestinal brush border membranes and Vero cells (9). Formation of similar large complex material was observed when CaCo-2 cells were treated with 125I-CPE at 37 °C (data not shown); formation of that high Mr, radiolabeled species was inhibited when CaCo-2 cells were treated simultaneously with 125I-CPE and a 100-fold excess of unlabeled CPE (data not shown), i.e. formation of CPE-containing large complex in CaCo-2 cells, like large complex formed in Vero cells and intestinal brush border membranes, involves specifically bound CPE.

Besides demonstrating that CaCo-2 cells form large complex, the initial CPE Western immunoblot results shown in Fig. 1A also revealed that small volumes of SDS extracts of CaCo-2 cells treated with CPE at 37 °C (Fig. 1A, lane 1) run as a relatively sharp, discrete band, whereas larger volumes of similarly prepared SDS extracts run as a more diffuse smear (Fig. 1A, lane 4). However, similar smearing of large complex material could be observed (data not shown) if the chemiluminescence exposure time was increased for lane 1 sample of Fig. 1A.

Occludin Western Immunoblot Analysis to Evaluate whether Occludin Is Present in Large Complex Formed when CaCo-2 Cells Are Treated with CPE at 37 °C-- For reasons described in the Introduction, we hypothesized that occludin, an ~65-kDa tight junction protein, might be present in CPE-containing large complex. Our Fig. 1A results demonstrating that CaCo-2 cells treated with CPE at 37 °C form large complex permitted us to test our hypothesis using CaCo-2 cells, which was fortuitous because (i) CaCo-2 cells have a human origin and antibodies against human occludin are available commercially and (ii) CaCo-2 cells are known to express occludin (33).

To begin evaluating whether the CPE-containing large complex material present in CaCo-2 cells contains occludin, SDS extracts prepared from CaCo-2 cells that had been treated with CPE at 37 °C were electrophoresed on 6% acrylamide gels containing SDS (no sample boiling) and immunoblotted using occludin antibodies (Fig. 1B). Those immunoblots clearly demonstrated the presence of a high Mr species reactive with occludin antibodies (Fig. 1B, lanes 1-4). Formation of that high Mr material reactive with occludin antibody was dependent on CPE treatment, because a similar species was absent from SDS extracts that had been similarly prepared from control (non-CPE-treated) CaCo-2 cells (Fig. 1B, cells lane). Furthermore, the high Mr species that reacts with occludin antibodies in CPE-treated CaCo-2 cells did not result from nonspecific cross-reactivity between the occludin antibody and CPE, because that antibody did not react with free CPE (Fig. 1B, CPE lane).

Immunoblotting of 4% Acrylamide Gels Containing SDS to Determine whether CPE-containing Large Complex of CaCo-2 Cells Contains Multiple Species-- Our Fig. 1A results indicating that CPE-containing large complex material from CaCo-2 cells can run as a smear could suggest that large complex material is a heterogeneous mix of several CPE-containing species. That hypothesis received additional, although still indirect, support from comparing the Fig. 1 (A and B) immunoblot results, i.e. on 6% acrylamide gels containing SDS (no sample boiling), the high Mr species reactive with occludin antibodies (Fig. 1B, lane 2) appears to only partially co-migrate with the smear of high Mr material that reacts with CPE antibodies (Fig. 1A, lane 4).

To evaluate the possibility of large complex heterogeniety more definitively, SDS extracts prepared from CaCo-2 cells treated with CPE at 37 °C were electrophoresed (without sample boiling) on SDS gels containing less (4%) acrylamide, which should improve resolution of high Mr, protein species. When those 4% acrylamide gels containing SDS were immunoblotted with CPE antibodies, multiple high Mr species reactive with CPE antibodies were detected (Fig. 2, left panel). Those high Mr species were absent (Fig. 2, left panel) from either (i) similarly processed, control CaCo-2 cells (Cells lane), which strongly suggests that the high Mr species present in CPE-treated CaCo-2 cells contain CPE, or (ii) a sample of free CPE that had been similarly electrophoresed and Western blotted (CPE lane), strongly suggesting that the high Mr species observed in CPE-treated CaCo-2 cells do not correspond to aggregates of free CPE.


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Fig. 2.   Kinetics of large complex formation in CPE-treated CaCo-2 cells at 37 °C. After incubation of CaCo-2 cells with CPE for desired time periods, CPE-treated cells were extracted with SDS, electrophoresed on 4% acrylamide gels containing SDS, and then Western immunoblotted with either CPE antibodies or occludin antibodies, as indicated. The time of CPE treatment is shown at the top of the gel, whereas the migration of myosin (212 kDa) and beta -galactosidase (122 kDa) markers are indicated in the center space between the two blots. The double, open, and closed arrows indicate the location of the ~200-, ~155-, and ~135-kDa large complexes, respectively.

Two high Mr, large complex species are particularly abundant in the CPE immunoblot shown in the left panel of Fig. 2. On the 4% acrylamide SDS-containing gels used in the Fig. 2 experiment, these two major large complex species migrated with apparent sizes of ~155 and ~200 kDa. In addition to those ~155- and ~200-kDa large complex species, which were reproducibly detected in all five repetitions of the Fig. 2 CPE immunoblot experiment, a minor high Mr species with an apparent size of ~135 kDa was also discernible in most repetitions of that experiment.

The results shown in the left panel of Fig. 2 indicate that the major ~200- and ~155-kDa large complex species can both be detected within the first minute of CPE treatment of CaCo-2 cells at 37 °C. When discernible, the ~135-kDa large complex species became clearly visible within 10 min of CPE treatment using our standard chemiluminescent detection protocol (Fig. 2, left panel). However, if longer chemiluminescent detection periods were used, the ~135-kDa large complex species could often be detected within 1 min of continuous CPE treatment at 37 °C (data not shown).

To further evaluate the kinetics of formation of the three CPE-containing large complex species, densitometric analysis was performed on immunoblots from three independent repetitions of the Fig. 2 (left panel) experiment. Those densitometric analyses revealed that the amounts of the ~135-, ~155-, and ~200-kDa CPE-containing large complexes present in CaCo-2 cells all progressively increased during the first 30 min of continuous CPE treatment at 37 °C. However, between 30 and 90 min of continuous CPE treatment, the amount of the ~200- and ~155-kDa species declined by about 33 and 25%, respectively, whereas levels of the ~135-kDa species increased by ~20%. Consequently, whereas the ~200-, ~155-, and ~135-kDa large complex species had represented ~25, ~65, and ~10%, respectively, of large complex material present in CaCo-2 cells after 30 min of continuous CPE treatment at 37 °C, the ratio of these species changed to ~20, ~60, and ~15%, respectively, after 90 min of continuous CPE treatment.

Kinetic relationships between the large complex species were further investigated in an experiment where CaCo-2 cultures were treated with CPE for 10 min at 37 °C, unbound toxin was removed, and the cultures were further incubated for up to another 80 min. When those cells were subjected to CPE Western immunoblot analysis (Fig. 3A), all three CPE-containing large complexes remained detectable throughout the duration of the experiment. However, levels of the ~200- and ~155-kDa large complexes declined by about 50% over the 80-min time span of this experiment, whereas the amount of the ~135-kDa large complexes increased by >30% during the experimental period.


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Fig. 3.   Formation and stability of large complex species in CaCo-2 cells. CaCo-2 cells were treated with CPE for 10 min at 37 °C. Unbound CPE was then removed (as indicated by arrow at the top of gel), and cells were further incubated in CPE-free medium for up to an additional 80 min (i.e. total CPE treatment time, 90 min). At the indicated times, aliquots of the CPE-treated cells were extracted with SDS, electrophoresed on 4% acrylamide gels containing SDS (no sample boiling), and then Western immunoblotted with either CPE antibodies (A) or occludin antibodies (B). The total time of CPE treatment is indicated on the x axis, whereas the migration of myosin (212 kDa) and beta -galactosidase (122 kDa) markers are indicated in the center space between the two blots. The double, open, and closed arrows indicate, respectively, the location of the ~200-, ~155-, and ~135-kDa large complexes.

Occludin Immunoblot Analysis to Identify Which Large Complex Species Contain Occludin-- Because our Fig. 1B results suggested that occludin is associated with large complex material, it was important to determine which of the large complex species identified in the left panels of Figs. 2 and 3A might contain occludin. Therefore, SDS extracts from CaCo-2 cells treated with CPE at 37 °C were electrophoresed on 4% acrylamide gels containing SDS (no sample boiling) and subjected to Western immunoblotting using occludin antibodies. Five repetitions of the occludin Western immunoblotting experiment detected only a single, high Mr band of ~200 kDa (Fig. 2, right panel). That occludin antibody-reactive band always precisely co-migrated with the ~200-kDa complex species detected using CPE antibodies (Fig. 2, left panel). Co-migration of the occludin-antibody and CPE-antibody complexes of ~200 kDa was confirmed by stripping the occludin antibodies from these blots and reprobing with CPE antibodies (data not shown).

With respect to kinetics, the ~200-kDa large complex species that reacts with occludin antibodies became detectable within 1 min of continuous CPE treatment of CaCo-2 cells at 37 °C (Fig. 2, right panel). Levels of that ~200-kDa species apparently containing occludin then steadily increased through the first 30 min of continuous CPE treatment before declining. When CaCo-2 cells were exposed to CPE for 10 min, washed free of unbound CPE, and then reincubated in CPE-free medium at 37 °C, an ~40% decline in the amount of the ~200-kDa large complex was noted between 20 and 80 min post-removal of unbound CPE (Fig. 3B).

Denaturing SDS-PAGE Analysis of the ~155- and ~200-kDa Large Complexes Isolated by Preparative Electrophoresis-- The results shown in the left panel of Fig. 2 strongly suggested that treatment of CaCo-2 cells with CPE at 37 °C induced formation of two major large complex species, including an ~155-kDa large complex species that apparently contains CPE but not occludin and an ~200-kDa species that apparently contains both CPE and occludin. However, it remained possible that occludin might be present in the ~155-kDa species but had not been detected by Western blotting because it was inaccessible to occludin antibodies. It also remained possible that the reactivity of the commercial occludin antibody preparation shown in Figs. 2 (right panel) and 3B with the ~200-kDa large complex species might result from nonspecific cross-reactivity betweeen that antiserum and some CaCo-2 cell protein other than occludin.

To evaluate those possibilities and confirm that CPE is actually present in both the ~155- and ~200-kDa large complex species, gel slices containing the ~155- and ~200-kDa large complexes were excised from preparative SDS-PAGE gels that had been run under the same conditions used for Figs. 2 and 3 experiments (note that similar preparative electrophoresis isolation of the ~135-kDa large complex was not attempted because of the limited abundance of that complex and its close migration to both the ~155-kDa large complex and to the dye front, which would cause significant cross-contamination of the isolated ~135-kDa complex with other proteins). When proteins eluted from these preparative gel slices were re-electrophoresed on denaturing SDS-PAGE gels containing urea and then subjected to Western immunoblot analysis with CPE antibodies, the results (Fig. 4A) clearly demonstrated that both the ~155- and ~200-kDa complexes contain a 35-kDa protein that co-migrates with purified CPE and reacts with CPE antibodies, i.e. CPE is present in both the ~155- and ~200-kDa large complexes.


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Fig. 4.   Western immunoblot analysis of denaturing SDS-PAGE gels run with proteins electroeluted from preparative gels containing SDS extracts prepared from either CPE-treated or control CaCo-2 cells. CaCo-2 cells were incubated with (Large Complex) or without (Control) CPE at 37 °C, extracted with SDS sample buffer (without boiling), and electrophoresed on separate 4% preparative gels. Gel slices corresponding to regions containing the ~155- and ~200-kDa large complexes were excised from the gels containing both CPE-treated and control CaCo-2 SDS extracts. Proteins in the gel slices were electroeluted at 50 mA for 3 h, the electroeluents were treated with 6 M urea at 90 °C and then boiled for 5 min in 2× SDS sample buffer (with beta -mercaptoethanol). The boiled samples were then run on 10% acrylamide gels containing SDS, and those gels were subjected to Western immunoblotting with either anti-CPE IgG or occludin antibodies, as indicated. The migration of molecular mass markers is shown in the center space between the two immunoblots; the migration of CPE and occludin are noted by the closed and open arrows, respectively. Note that the material at the top of some lanes of these CPE Western immunoblots probably represents incompletely dissociated large complex material (data not shown).

When similar denaturing SDS-PAGE Western immunoblot analyses were performed with the same commercial occludin antibody preparation used in our Fig. 2 (right panel) and 3B experiments, a single immunoreactive band of ~65 kDa, which matches the expected size of occludin, was detected in SDS extracts freshly prepared from control CaCo-2 cells. The Fig. 4B occludin Western immunoblot analysis also demonstrated that a substantial amount of that ~65-kDa protein reactive with occludin antibodies was also present in the sample eluted from gel slices containing the ~200-kDa large complex of CPE-treated CaCo-2 cells, i.e. preparative gel slices with the ~200-kDa large complex contain occludin, as well as CPE. The absence of immunoreactivity in corresponding gel slices from preparative gels run with SDS extracts prepared from control cells indicates that the presence of occludin in the sample eluted from gel slices containing the ~200-kDa large complex can be specifically attributed to CPE treatment.

When proteins eluted from preparative gel slices containing the ~155-kDa band of CPE-treated CaCo-2 cells were similarly analyzed by occludin Western immunoblots, a trace amount of occludin was detectable (Fig. 4B). However, those trace levels of occludin do not appear to be associated with CPE treatment, because similar trace levels of occludin were also detected in samples eluted from gel slices of corresponding regions of preparative gels run with SDS extracts prepared from control CaCo-2 cells. The trace levels of occludin that appear to be contaminating gel slices with the ~155-kDa large complex (and corresponding regions of gel slices from control gels) probably resulted from smearing of free occludin during preparative electrophoresis, as can be observed in the Fig. 3B immunoblot, which used similar 4% acrylamide gels containing SDS.

Immunoprecipitation Analysis of CaCo-2 Cells Treated with CPE at 37 °C-- The results shown in Figs. 2-4 strongly suggested that CPE and occludin co-localize in a common (~200 kDa) complex. To formally prove that CPE is physically associated with occludin in CaCo-2 cells, an immunoprecipitation experiment was performed using SDS extracts of CaCo-2 cells treated with CPE at 37 °C. Results from that experiment (Fig. 5) show that, as would be expected, occludin antibodies specifically immunoprecipitated a protein of ~65 kDa, which matches the expected size of occludin and reacts with occludin antibodies, from both CaCo-2 cells treated with CPE at 37 °C and control (non-CPE-treated) CaCo-2 cells. In contrast, CPE antibodies only immunoprecipitated an ~65-kDa protein, which reacts with occludin antibodies, from CaCo-2 cells that had been treated with CPE at 37 °C. The ability of CPE antibodies to immunoprecipitate occludin from CPE-treated, but not control, CaCo-2 cells confirms that CPE and occludin can physically associate in CaCo-2 cells treated with CPE at 37 °C.


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Fig. 5.   Occludin Western immunoblot analysis of denaturing SDS-PAGE gels run with material immunoprecipitated from control or large complex-containing CaCo-2 cells. CaCo-2 cells incubated with (Large Complex) or without (Control) CPE at 37 °C were extracted with 1% Triton X-100 at 4 °C. Aliquots of those extracts were then incubated without or with 100 µg/ml of anti-CPE IgG, occludin antibodies, or NRS IgG. The extracts were then further incubated with protein A beads to immunoprecipitate antigen-antibody complexes. Those mixtures were microcentrifuged, and the pelleted beads were washed and extracted with SDS sample buffer (with beta -mercaptoethanol) and boiled for 5 min. The boiled samples were electrophoresed on 10% acrylamide gels containing SDS and Western immunoblotted with occludin antibody. The samples shown for both the control and large complex samples include immunoprecipitate obtained using anti-CPE IgG (lane 1), immunoprecipitate obtained using occludin antibodies (lane 2), immunoprecipitate obtained using NRS-IgG (lane 3), and materials bound to beads in the absence of any antibody (lane 4). The CPE lane contains 0.5 µg of free CPE. The open arrow on the right side indicates the location of the ~65-kDa band that appears to correspond to occludin.

Immunoprecipitation Analysis of CaCo-2 Cells Treated with CPE at 4 °C-- Results from our Fig. 1-5 experiments indicated that CPE and occludin can co-localize in an ~200-kDa large complex. However, because there are known to be several steps in CPE action preceding large complex formation, it was possible that CPE and occludin might interact before large complex formation. Therefore, an experiment was performed to evaluate whether occludin is present in the CPE-containing small complex that forms upon or soon after CPE binding and precedes large complex formation.

To evaluate whether occludin is present in CPE-containing small complex, CaCo-2 cells were treated with 125I-CPE at 4 °C, a temperature where small complex formation occurs but large complex formation is effectively inhibited (4). Those 125I-CPE-treated CaCo-2 cells were subjected to immunoprecipitation analysis (Fig. 6), which was necessary because small complex cannot be reliably detected by immunoblotting (20).


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Fig. 6.   Immunoprecipitation experiments with CaCo-2 cells containing small complex. a, autoradiographs of material present in supernatants (left) or immunoprecipitates (right) from immunoprecipitation experiments performed using control CaCo-2 cells (lanes 2-5 and 11) or CaCo-2 cells treated with 125I-CPE at 4 °C (lanes 1 and 6-9). The cells were then extracted with 1% Triton X-100; the resultant Triton X-100 extracts were incubated without antibody (lanes 2 and 6) or with anti-CPE IgG (lanes 3 and 7), occludin antibodies (lanes 4 and 8), or NRS-IgG (lanes 5 and 9). After overnight incubation at 4 °C, the mixtures were incubated with protein A beads. After microcentrifugation, supernatants were extracted with native sample buffer containing Triton X-100 (without boiling), electrophoresed on 6% Triton X-100 native gels, and subjected to autoradiography. Pelleted beads were washed and boiled for 5 min with SDS sample buffer (containing beta -mercaptoethanol), and the boiled samples were run on 10% acrylamide gels containing SDS. Those gels were dried and autoradiographed. For comparison, freshly prepared Triton X-100 lysates, i.e. lysates that were not incubated overnight, from either CaCo-2 cells treated with 125I-CPE at 4 °C (lane 1) or control CaCo-2 cells (lane 11) are also shown. Migration of molecular mass markers is indicated to the left of the gel containing the immunoprecipitates. The open and closed arrows show the migration of small complex and free CPE, respectively. Note that no radioactive material was present in lanes containing Triton X-100 extracts of CaCo-2 cells treated with 125I-CPE in the presence of 100-fold excess native CPE (data not shown), i.e. all rardioactive material shown in lanes 1 and 6-9 is attributable to specifically bound 125I-CPE. b, Western immunoblot analysis of material immunoprecipitated from CaCo-2 cells containing small complex. The immunoprecipitated material prepared during the experiments in a was also subjected to denaturing SDS-PAGE (with sample boiling) on 10% acrylamide gels and then immunoblotted with anti-CPE IgG (left) or occludin antibody (right). Lanes shown include: material present before immunoprecipitation of SDS extracts from small complex-containing (lane 1) or control (lane 11) CaCo-2 cells; material from SDS extracts of control (lane 2) or small complex-containing (lane 6) CaCo-2 cells that bound to protein A beads in the absence of any antibody; material immunoprecipitated by anti-CPE IgG from SDS extracts of control (lane 3) or small complex-containing (lane 7) CaCo-2 cells; material immunoprecipitated by occludin antibody from SDS extracts of control (lane 4) or small complex-containing (lane 8) CaCo-2 cells; and material immunoprecipitated by NRS-IgG from SDS extracts of control (lane 5) or small complex-containing CaCo-2 cells (lane 9). Lane 10 contains free 125I-CPE. The closed arrow on left side depicts the migration of ~65-kDa occludin, whereas the open arrow indicates the migration of 125I-CPE.

Results shown in lane 6 of the left panel of Fig. 6a confirm that CaCo-2 cells treated with CPE at 4 °C form small complex, consistent with previous studies (4). Results shown in lanes 6-9 of the left and right panels of Fig. 6a also (i) indicate that CPE antibodies, but not occludin antibodies (or NRS IgG), can immunoprecipitate small complex and (ii) confirm that intact 125I-CPE is present in the small complex that was immunoprecipitated by CPE antibodies.

The inability of occludin antibodies to immunoprecipitate small complex in our Fig. 6a experiments was consistent with the absence of occludin from small complex. However, it was conceivable that occludin might be present in small complex but had not been detected by immunoprecipitation techniques because it was inaccessible to occludin antibodies. To test that possibility, CaCo-2 cells treated with CPE at 4 °C (a condition where small complex forms; see Fig. 6a) were subjected to immunoprecipitation using either CPE antibodies, occludin antibodies, or NRS IgG, and the resultant immunoprecipitates were subjected to denaturing Western immunoblot analysis, first using occludin antibodies (Fig. 6b, right panel) and then, after stripping, CPE antibodies (Fig. 6b, left panel). Consistent with our Fig. 6a results, the CPE Western immunoblot results shown in Fig. 6b indicate that CPE antibodies specifically immunoprecipitated a 35-kDa protein (lane 7), which co-migrates with purified CPE (lane 10), from CaCo-2 cells containing small complex. Neither occludin antibodies nor NRS IgG were able to immunoprecipitate that 35-kDa protein, confirming the identity of that protein as CPE. The failure of occludin antibodies to immunoprecipitate CPE in lane 8 of Fig. 6b is consistent with our Fig. 6a results showing that occludin antibodies did not immunoprecipitate either small complex or free CPE.

The occludin Western immunoblot results shown in the right panel of Fig. 6b confirm (as expected) that occludin antibodies can immunoprecipitate a protein of ~65 kDa, which matches the expected size of occludin and reacts with occludin antibodies, from both control CaCo-2 cells and CaCo-2 cells containing small complex. However, CPE antibodies (which can immunoprecipitate small complex; see Fig. 6a) failed to immunoprecipitate a similar ~65-kDa protein from either control or small complex-containing CaCo-2 cells, conclusively demonstrating that occludin is not present in small complex.

Use of Attenuated rCPE Point Mutants to Investigate the Biologic Importance of the ~155- and ~200-kDa Large Complexes-- A previous study (20) from our laboratory demonstrated that (i) S59L and G49D rCPE point mutants are completely nontoxic because they fail to form large complex material on 6% acrylamide gels containing SDS and (ii) an R116S rCPE point mutant with strongly attenuated cytotoxic activity forms significantly reduced amounts of large complex material on 6% acrylamide gels containing SDS. To begin dissecting the biologic importance of the ~155- and ~200-kDa large complex species, the ability of these three rCPE mutants and rCPE to form one or both of the newly identified large complexes was determined using CPE Western blots of 4% acrylamide gels containing SDS.

Results from that immunoblot experiment (Fig. 7) indicate that, like native CPE (Figs. 2 and 3), rCPE forms two predominate large complex species. Reminiscent of our earlier observations with native CPE, the faster-migrating of those two rCPE-containing large complex species was also more abundant. These results strongly suggest that rCPE, which possesses biologic activity similar to that of native CPE (20), also exhibits similar large complex forming ability as the native enterotoxin. Fig. 7 results also indicates that the two major large complex species formed by rCPE migrate more slowly than the ~155- and ~200-kDa large complexes made by native CPE, probably because of the ~5 kDa of vector-encoded amino acids present on rCPE.


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Fig. 7.   CPE Western immunoblot analysis of large complex formation in CaCo-2 cells treated with rCPE, native CPE, or rCPE point mutants. CaCo-2 cells were treated with native CPE, rCPE, G49D, S59L, or a R116S rCPE point mutant at 37 °C to form large complex material. Those treated cells were extracted with SDS sample buffer (without boiling) and electrophoresed on 4% acrylamide gels containing SDS. The gels were then subjected to Western immunoblotting using anti-CPE antibodies. The location of free rCPE is shown in A; free G49D, S59L, and R116S mutants also migrated at the dye front in these blots (data not shown). B shows the migration of SDS extracts of CaCo-2 cells treated with native CPE or one rCPE species. No immunoreactivity was present in SDS extracts of control CaCo-2 cells (data not shown). C shows an overexposure of the SDS extract from CaCo-2 cells treated with the R116S mutant. The double, open, and closed arrows show, respectively, migration of the ~200-, ~155-, and ~135-kDa large complex species.

When similar Western blot analyses were performed with CaCo-2 cells treated at 37 °C with one of our rCPE point mutants, it was observed that (i) neither the nontoxic S59L and G49D mutants induced formation of any large complex species and (ii) the attenuated R116S mutant made reduced amounts of both major large complex species. These rCPE point mutants results are consistent with both major large complex species of rCPE (and, by extension, the corresponding large complex species made by native CPE) participating in CPE-induced cytotoxic activity.

Analysis of the CPE Sensitivity of Occludin-transfected Rat Fibroblasts-- Because our Fig. 7 results were consistent with the occludin-containing, ~200-kDa large complex playing a role in CPE-induced cytotoxicity, it was considered important to address whether the presence of occludin is sufficient to confer CPE sensitivity to a naturally CPE-insensitive host cell. That question was assessed by stably transfecting Rat-1/R12 fibroblasts, which are not naturally CPE-sensitive (Fig. 8c) because of an inability to bind CPE (Fig. 8d), to express occludin.


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Fig. 8.   Studies using the FL-22 occludin transfectants. a, expression of occludin protein in Rat-1/R12, FL-22, and CaCo-2 cells. Confluent cultures of Rat-1/R12 and FL-22 cells grown in the presence (+ Doxy) or absence (- Doxy) of doxycycline and CaCo-2 cells were harvested by gentle scraping. The harvested cells were extracted with SDS sample buffer (containing beta -mercaptoethanol) and boiled for 5 min. The extracts were electrophoresed on 10% acrylamide gels containing SDS, and these gels were Western blotted using occludin antibody. The immunoreactive band shown for FL-22 cells and CaCo-2 cells is ~65 kDa in size (markers not shown). b, immunofluorescence localization of occludin and ZO-1 in FL-22 cells. Panel A shows immunofluorescence with ZO-1 rabbit polyclonal antibody, which (as expected) is localized at regions of cell-cell contact. Panel B shows immunofluoresence using anti-VSV-G monoclonal antibody, which is also localized at cell-cell contacts (note that the occludin expressed by FL-22 cells is tagged with a C-terminal VSV-G tag). c, CPE sensitivity of Rat-1/R12, FL-22, and CaCo-2 cells. Confluent cultures of Rat-1/R12, FL-22, and CaCo-2 cells were labeled with 86RbCl and then treated with increasing amounts of CPE for 15 min. Radioactivity in culture supernatants was then determined using a gamma  counter. Data are expressed as percentage of maximal release, after correction for background spontaneous 86Rb release from corresponding control (non-CPE-treated) cells. The results shown include: Rat-1/R12 cells (black-square), FL-22 cells (black-triangle), and CaCo-2 cells (). These results represent the means of three separate experiments, with each point determined in duplicate. Error bars represent the standard error (S.E.) of the mean; points without error bars had values too small to depict. d, CPE Western immunoblot analysis of large complex formation by Rat-1/R12, FL-22, and CaCo-2 cells. CaCo-2 cells, Rat-1/R12, and FL-22 cells were treated with CPE at 37 °C to form large complex material and then extracted with 2× SDS sample buffer (without boiling). Those extracts were electrophoresed on 4% acrylamide gels containing SDS (no sample boiling), and the gels were subjected to Western blotting using anti-CPE IgG. Lanes shown include CPE-treated CaCo-2 cells and Rat-1/R12 and FL-22 cells grown in either the presence (+ Doxy) or absence (- Doxy) of doxycycline. The CPE lane shows the migration of free CPE on this SDS gel. e, binding of 125I-CPE to Rat1-/R12, FL-22, and CaCo-2 cells. Confluent cultures of Rat-1/R12, FL-22, or CaCo-2 cells were incubated with 125I-CPE in the presence or absence of 100-fold excess native CPE at 37 °C for 15 min. After washing, the cultures were harvested by scraping, and radioactivity was determined by gamma  counting. An aliquot of the harvested cells was also counted using a hemocytometer. Specific binding was calculated by subtracting nonspecific binding (i.e. 125I-CPE binding in the presence of excess native CPE) from total binding (i.e, 125I-CPE binding in the absence of native CPE). Data shown are the mean ng of 125I-CPE specifically bound (± standard error) during three independent experiments, with duplicate data points in each experiment.

Occludin expression by the resultant transfectants, named FL-22 cells, was confirmed by Western immunoblotting experiments (Fig. 8a). Those Western immunoblots clearly demonstrate that FL-22 cells, but not parental Rat-1/R12 cells, express occludin. Densitometric analysis of several repetitions of that Fig. 8a immunoblot experiment indicated that FL-22 cells grown in the absence of doxycycline produce about half as much occludin/cell as do CaCo-2 cells, whereas FL-22 cells grown in the presence of doxycycline (which should decrease occludin expression) still produce ~35-40% as much occludin/cell as do CaCo-2 cells.

When immunofluorescence analysis (Fig. 8b) was performed to evaluate the distribution of occludin in FL-22 cells, it was observed that occludin primarily localizes to areas of cell-cell contact in FL-22 cells. The presence of occludin in areas of cell-cell contact is confirmed by its co-localization with ZO-1, which is also known to be present in regions of cell-cell contact between nearly all mammalian cells (including fibroblasts) (28).

The availability of FL-22 cells, which express occludin at regions of cell-cell contact allowed us to test whether the presence of occludin in a naturally CPE-insensitive cell is sufficient to confer CPE sensitivity. When the CPE sensitivity of FL-22 cells was evaluated using our standard 86Rb release assay for CPE-induced membrane permeability changes (5), little CPE-induced 86Rb release was detected. For example, Fig. 8c shows that ~1 µg of CPE was sufficient to induce 50% of maximal 86Rb release from CPE-sensitive CaCo-2 cells, but even 16 µg of CPE induced only ~10% of maximal 86Rb release from FL-22 cells, even when those cells were grown in the absence of doxycycline (where more occludin is expressed; Fig. 8a).

When our standard Western immunoblot large complex detection assays were employed to investigate whether the presence of occludin in FL-22 cells permits formation of any large complex species, FL-22 cells treated with CPE at 37 °C did not appear to form detectable levels of any large complex species (Fig. 8d). However, large complexes of ~155 and ~200 kDa were readily detected in CaCo-2 cells treated with CPE at 37 °C (Fig. 8d), confirming that the electrophoresis and immunoblotting procedures used in this particular experiment had worked correctly.

Finally, the absence of significant levels of CPE antibody-reactive material in CPE-treated FL-22 cells suggested that those transfectants cannot specifically bind CPE. The inability of FL-22 cells to specifically bind CPE was then confirmed using 125I-CPE binding experiments (Fig. 8e), which failed to detect specific binding of 125I-CPE either to FL-22 cells or to their parental Rat-1/R12 cells, at either 37 °C (Fig. 8e) or room temperature (data not shown). The 125I-CPE binding assay used in this experiment was able to reliably detect 125I-CPE specific binding, because 125I-CPE specific binding was demonstrated to CaCo-2 cells at both 37 °C and room temperature (Fig. 8e and data not shown).

    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

As mentioned in the Introduction, identifying the eucaryotic protein constituents of CPE-containing large complex material is important for elucidating CPE action. Prior to the current study, only one eucaryotic protein component of large complex material had been identified, i.e. certain members of the 22-kDa claudin family of TJ proteins have been linked to large complex material (8). However, ample evidence suggested the presence of other eucaryotic proteins in large complex material. For example, early affinity chromatography studies (9, 21, 22) using immobilized CPE reported that ~45-50- and ~65-70-kDa eucaryotic proteins are associated with large complex material. The presence of ~45-50- and ~65-70-kDa eucaryotic proteins in large complex material received additional support when eucaryotic proteins matching those two sizes were also detected in large complex samples (9) that had been partially purified by either gel filtration or SDS-PAGE (without sample boiling). Our current study now confirms that a eucaryotic protein of ~65-70 kDa is present in large complex material and, more importantly, identifies that protein as occludin.

Before discussing the pathophysiologic relevance of establishing the presence of occludin in large complex material, it deserves brief mention that our Fig. 7 immunoblot results may provide some additional information regarding the composition of large complex material. Those immunoblots show that the large complex species (discussed below) formed by rCPE exhibit substantially slower electrophoretic migration than the corresponding large complex species formed by native CPE. Those migration differences, which reflect the presence of ~5 kDa of vector-encoded sequences on rCPE, appear to be greater than would be expected from an ~5-kDa increase in size for each rCPE large complex species. Therefore, unless the presence of vector-encoded sequences induces anomolous electrophoretic mobility characteristics to rCPE-containing large complex species, the significantly slower migration of rCPE large complex species versus native CPE large complex species may suggest that more than one molecule of CPE is present per large complex species.

Returning to the possible significance of establishing that occludin is present in large complex material, our FL-22 transfectant results suggest that the presence of occludin in regions of cell-cell contact is not sufficient to confer either sensitivity to CPE-induced cytotoxicity or binding ability to a mammalian cell. The failure of FL-22 cells to bind or respond to CPE does not appear to be attributable to the presence of a VSV-G tag on the occludin expressed by those cells, because (i) that tag is located on the cytoplasmic C terminus of occludin (28), where it should not contact CPE because the enterotoxin remains on the surface of plasma membranes (31, 34, 35) and (ii) recombinant occludin tagged with the same C-terminal VSV-G sequences has been shown (28) to confer adhesiveness to fibroblasts, i.e. VSV-G tagged occludin is biologically active.

Demonstrating the presence of occludin in large complex material provides new evidence for the ability of CPE to interact with TJ proteins. Specifically, coupling our results establishing that occludin is present in large complex material formed by CaCo-2 cells with data from other recent papers linking claudins to large complex material, it now becomes evident that CPE directly or indirectly interacts with both of the major structural proteins (claudins and occludin) comprising TJs.

It also appears that different regions of the CPE protein are involved in interactions with claudin versus occludin. Specifically, previous studies (8, 23, 25) have shown that C-terminal CPE sequences are sufficient to bind claudins, which is consistent with studies demonstrating that (i) the C terminus of CPE contains a receptor binding domain (19, 36-38) and (ii) some claudins can serve as a functional CPE receptor (8, 25). In contrast, our data indicate that CPE interacts with occludin after binding. Furthermore, our results with rCPE point mutants, which apparently retain a native conformation (20), indicate that sequences in the N-terminal half of the native CPE protein are necessary for occludin to become localized in the large complex material. The apparent involvement of N-terminal CPE sequences in the formation of occludin-containing large complex material argues that formation of that large complex material does not simply result from the previously reported claudin-occludin interactions (26) but instead requires active participation of the CPE protein. It remains to be determined whether N-terminal CPE sequences directly contact occludin during formation of the occludin-containing large complex material or, instead, CPE indirectly induces localization of occludin in large complex material by affecting some other eucaryotic protein, which then interacts with occludin.

Establishing that N-terminal CPE sequences are necessary for the interactions of toxin with occludin is especially interesting given recent reports (23, 39) indicating that both CPE and C-terminal CPE fragments can induce structural alterations in TJs and that these structural alterations may have pathophysiologic consequences, e.g. they may increase epithelial paracellular permeability. However, it should be noted that although both native CPE and C-terminal CPE fragments have been observed to induce structural changes in TJs, results from one recent study (39) suggest that TJ structural changes are induced much more quickly by native CPE. It is possible that this apparently greater ability of native CPE (versus C-terminal CPE fragments) to induce TJ structural alterations results from the ability of native CPE, which has the N-terminal sequences important for localizing occludin in the ~200-kDa complex (see below), to interact with both claudin and occludin. If the ability of CPE (but not C-terminal CPE fragments) to interact with occludin explains why native CPE induces TJ rearrangements faster than C-terminal CPE fragments, it would support previous data (28) suggesting that occludin as well as claudins (23) play important roles in maintaining the normal structure of TJs.

Perhaps the single most significant result of the current study for understanding CPE action is the discovery of multiple large complex species. The discovery of multiple large complex species of ~135, ~155, and ~200 kDa in size mandates changes in our thinking about CPE action. For example, the presence of multiple large complex species in polarized epithelium could help explain CPE's diverse biologic effects, which are now known to include both cytotoxic effects resulting from toxin-induced membrane permeability alterations in host cells (5-7, 11), as well as effects on tight junctions (23,