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J. Biol. Chem., Vol. 280, Issue 16, 16345-16353, April 22, 2005
Selective Disruption of Phosphatidylcholine Metabolism of the Intracellular Parasite Toxoplasma gondii Arrests Its Growth*![]() ![]() ![]() ||
From the
Received for publication, February 9, 2005
Toxoplasma gondii is an intracellular protozoan parasite capable of causing devastating infections in immunocompromised and immunologically immature individuals. In this report, we demonstrate the relative independence of T. gondii from its host cell for aminoglycerophospholipid synthesis. The parasite can acquire the lipid precursors serine, ethanolamine, and choline from its environment and use them for the synthesis of its major lipids, phosphatidylserine (PtdSer), phosphatidylethanolamine (PtdEtn), and phosphatidylcholine (PtdCho), respectively. Dimethylethanolamine (Etn(Me)2), a choline analog, dramatically interfered with the PtdCho metabolism of T. gondii and caused a marked inhibition of its growth within human foreskin fibroblasts. In tissue culture medium supplemented with 2 mM Etn(Me)2, the parasite-induced lysis of the host cells was dramatically attenuated, and the production of parasites was inhibited by more than 99%. The disruption of parasite growth was paralleled by structural abnormalities in its membranes. In contrast, no negative effect on host cell growth and morphology was observed. The data also reveal that the Etn(Me)2-supplemented parasite had a time-dependent decrease in its PtdCho content and an equivalent increase in phosphatidyldimethylethanolamine, whereas other major lipids, PtdSer, PtdEtn, and PtdIns, remained largely unchanged. Relative to host cells, the parasites incorporated more than 7 times as much Etn(Me)2 into their phospholipid. These findings reveal that Etn(Me)2 selectively alters parasite lipid metabolism and demonstrate how selective inhibition of PtdCho synthesis is a powerful approach to arresting parasite growth.
Toxoplasma gondii is a ubiquitous, obligate intracellular protozoan parasite capable of infecting virtually all types of nucleated mammalian and avian cells (1). As an opportunistic human pathogen, T. gondii is an important cause of disease in immunocompromised individuals (2) and in neonates following congenital infection (3). Upon invasion of a host cell, the parasite resides in a specialized compartment, the parasitophorous vacuole (PV),1 a unique and dynamic nonfusogenic membrane organelle (4, 5). Successful replication of T. gondii within its PV requires a substantial increase in membrane biogenesis. Despite the apparent segregation of the PV from the host cell endocytic network, metabolites essential for the parasite are known to exchange with the intravacuolar space. Shortly after infection, the PV membrane quickly becomes physically associated with sites of host cell lipid biosynthesis, the endoplasmic reticulum and mitochondria (5, 6). Therefore, these organelles might function as the donors of essential lipids to the growing parasite. Another possibility is that like Plasmodium falciparum (7), a related apicomplexan parasite, T. gondii is independent of its host regarding its lipid requirement and harbors its own lipid biosynthetic machinery. Currently there is a paucity of information about the lipid metabolism of T. gondii. A study by Charron and Sibley (8) using fluorescent lipids and radioactive precursors suggested that T. gondii is capable of both autonomous phospholipid synthesis and scavenging of phosphatidylcholine (PtdCho) from the host cell, but no quantitative measurements were made.
In this study, we investigated the phospholipid metabolism of the free T. gondii to gauge its capacity for membrane biogenesis independent of the host cell. We focused on the quantitative analysis of the aminoglycerophospholipid synthetic pathways that produce phosphatidylserine (PtdSer), phosphatidylethanolamine (PtdEtn), and PtdCho. In many eukaryotes the metabolism of these three lipids is intimately interconnected with the decarboxylation of PtdSer producing PtdEtn and the methylation of PtdEtn producing PtdCho (9). Eukaryotes also possess pathways for PtdEtn and PtdCho synthesis via the Kennedy pathways using phospho-Etn/Cho and CDP-Etn/Cho intermediates (9). We also investigated whether the ability of the parasite to autonomously synthesize phospholipid rendered it uniquely susceptible to modifiers of phospholipid metabolism. We specifically focused upon Etn(Me)2, which is known to alter the phospholipid composition of eukaryotic cells (10, 11). Our findings reveal that the parasite has a high capacity for independent phospholipid synthesis and that its PtdCho metabolism is markedly altered by Etn(Me)2 leading to a dramatic arrest of replication.
ChemicalsDulbecco's modified Eagle's medium and MEM amino acids and vitamins were purchased from Invitrogen. The [3H]serine and [3H]ethanolamine were from Amersham Biosciences. The [3H]choline, [3H]leucine, and H332PO4 were obtained from PerkinElmer Life Sciences. CDP-[3H]choline and CDP-[1,2-14C]ethanolamine were obtained from American Radiolabeled Chemicals Inc. and L-[U-14C]serine was from ICN Radiochemicals. The N,N-dimethylethanolamine (Etn(Me)2) was purchased from Aldrich. All lipids were obtained from Avanti%20Polar%20Lipids">Avanti Polar Lipids. Silica gel 60 and H plates for thin layer chromatography were obtained from Merck and Analtech, respectively. Stock solutions of Etn(Me)2 were prepared at a concentration of 5 M in 5 M HCl and were freshly diluted to the concentrations required for each experiment. Cell and Parasite CultureHuman foreskin fibroblasts (HFFs) obtained from American Type Culture Collection were routinely cultured in Dulbecco's modified Eagle's medium supplemented with 10% fetal calf serum, 2 mM glutamine, MEM non-essential amino acids, 100 units/ml penicillin, and 100 µg/ml streptomycin and grown at 37 °C in a humidified incubator at 10% CO2. Cultures were passaged by trypsinization at least once a week, and host cells were used up to the 10th passage. T. gondii tachyzoites of the RH strain were propagated in vitro by serial passage in HFF monolayers. The parasites were counted in a hemocytometer and used for a new cycle of host invasion at the multiplicity of infection stated in the individual figure legends. To purify the parasites, supernatants from freshly lysed monolayers were collected and centrifuged followed by three subsequent washings with phosphate-buffered saline (PBS). The parasites were routinely used immediately after isolation. In the early stages of these studies we compared the radiolabeling of parasites purified on Nycodenz gradients (12) with those prepared by simple centrifugation and washing. We observed no significant differences between the two methods and hence used the centrifugation and washing procedure for the experiments described in this report. Lipid Precursor Labeling of T. gondii TachyzoitesThe labeling of extracellular T. gondii was performed in loosely capped polypropylene tubes at 37 °C for 16 h with shaking. Typically 1 x 108 parasites were incubated with [3H]Ser, [3H]Etn, [3H]Cho (10 µCi, 25 µM) or H332PO4 (30 µCi) in 1 ml of medium. The intracellular type medium contained 20 mM HEPES, 140 mM KCl, 10 mM NaCl, 2.5 mM MgCl2,5mM glucose, 0.1 µM CaCl2, 1 mM sodium pyruvate, MEM vitamin solution lacking choline, MEM amino acids, and serine-free non-essential amino acids, pH 7.4. The extracellular type medium contained 20 mM HEPES, Earl's basic salt solution without NaHCO3, 32.5 mM NaCl in place of NaHCO3, 1 mM sodium pyruvate, MEM vitamin mixture lacking choline, MEM amino acids, and serine-free non-essential amino acids, pH 7.4. The serine-free non-essential amino acid solution contained 10 µg/ml each of Ala, Asp, Glu, Gly, Pro, and Asn. ATP was freshly prepared and added to a final concentration of 1 mM along with 1 mM MgCl2 just prior to starting the reaction. The reaction was terminated by addition of 1.1 ml each of methanol and chloroform, vigorously mixed, and centrifuged. The lower chloroform phase of the resultant biphasic system was used for the recovery of phospholipid. Extraction and Analysis of LipidsFor chemical phosphorus determinations (13), HFFs or unlabeled parasites were suspended in 5.8 ml of methanol:water (2:0.9, v/v) followed by the addition of 2 ml of chloroform, 1.8 ml of 0.2 M KCl, and 2 ml of chloroform, each accompanied with vigorous mixing. The aqueous upper phase was removed from the resultant biphasic system, and the lower chloroform phase was washed twice with methanol:KCl (0.2 M):chloroform (1:0.9:0.1, v/v). Lipids obtained from the labeled parasites were backwashed three times with 2.1 ml of methanol:PBS:chloroform (1:0.9:0.15, v/v). The lower phase (chloroform) containing lipids was recovered, dried under N2, and resuspended in 50100 µl of chloroform:methanol (9:1, v/v). Lipids were separated and analyzed by one-dimensional TLC on silica gel H plates developed in chloroform:methanol:2-propanol:KCl (0.25%):triethylamine (90:28:75:18:54, v/v). Lipids were also separated by two-dimensional TLC on silica gel 60 plates developed in chloroform: methanol:NH4OH (65:35:5, v/v) and in chloroform:acetic acid:methanol: water (75:25:5:2.2, v/v). Phospholipids were visualized by staining with iodine vapor and/or spraying with 0.2% (w/v) anilino-1-naphthalene sulfonic acid and exposure to ultraviolet light. All lipids were identified based on their co-migration with authentic standards. Preparation of Parasite HomogenatesA suspension containing 2 x 108 T. gondii tachyzoites/ml in buffer (described below for different enzyme assays) was probe sonicated at 0 °C using five 30-s bursts at 50 watts with 30-s cooling intervals between bursts. The homogenates were kept on ice prior to initiating enzyme reactions. The enzyme reactions were routinely performed by premixing all assay components at 0 °C and then shifting to 37 °C. All assays were performed in 16 x 100-mm tubes at 37 °C for 45 min to 1 h. Heat-inactivated (95 °C for 30 min) enzyme extract was included as a negative control in each assay. Unless stated otherwise, the reactions were terminated with 1.5 ml of CH3OH:CHCl3 (2:1, v/v) followed by addition of 0.5 ml of CHCl3 and 0.7 ml of PBS. The resultant chloroform phase was backwashed three times with 1.8 ml of CH3OH:KCl (0.2 M):CHCl3 (10:9:1, v/v/v). The final chloroform phase was dried overnight in scintillation vials, and the radioactivity was quantified by liquid scintillation spectrometry. Phosphatidylserine Decarboxylase AssayPhosphatidylserine decarboxylase activity was measured by trapping 14CO2 released from Ptd-L-[U-14C]Ser on filter paper impregnated with 2 M KOH (14). Dioleoyl Ptd[U-14C]Ser was synthesized from L-[U-14C]serine and dioleoyl CDP-diacylglycerol by the action of PtdSer synthase. The PtdSer synthase was purified from Escherichia coli strain JA-200 harboring the plasmid pPS3155, which caused 100-fold overproduction of the enzyme (15). The reactions were performed in 16 x 100-mm borosilicate glass tubes sealed with an air-tight rubber septum to which was attached a well holding the base-saturated filter paper. The parasite extract was prepared in 50 mM potassium phosphate buffer (pH 6.8), 0.25 M sucrose, 0.5 mM phenylmethylsulfonyl fluoride (PMSF), and 3 mM EDTA. The 0.8-ml assay mixture contained 60 mM potassium phosphate (pH 6.8), 0.17 M sucrose, 0.35 mM PMSF, 2 mM EDTA, 0.5 mM 2-mercaptoethanol, 0.5 mM dioleoylphosphatidyl-L-[U-14C]serine (0.1 µCi/µmol), 0.1% (w/v) Triton X-100, and 0.2 ml of parasite extract. The reaction was terminated after 45 min by the addition of 0.5 ml of 0.25 M H2SO4 introduced through the rubber septum using a hypodermic needle. The radioactive CO2 evolved was trapped over a period of 30 min prior to recovering the filter paper for liquid scintillation spectrometry. Choline Phosphotransferase AssayCholine phosphotransferase activity was measured by following the incorporation of radioactivity from CDP-[3H]choline into PtdCho in the presence of 1,2-dioleoylglycerol (16). The cell extract was prepared in 0.25 M sucrose, 0.5 mM PMSF, and 50 mM Tris-Cl buffer (pH 8). The 0.2-ml reactions contained 75 mM Tris-Cl (pH 8), 10 mM MgCl2, 1 mM MnCl2, 0.5 mM EGTA, 125 mM sucrose, 0.25 mM PMSF, 1.8 mM 1,2-dioleoylglycerol, 0.16% (w/v) Tween 20, 0.95 mM dioleoylphosphatidylcholine, 0.125 mM CDP-[3H]choline (2 nCi/nmol), and 0.1 ml of parasite extract. The reaction was terminated by lipid extraction. Ethanolamine Phosphotransferase AssayEthanolamine phosphotransferase activity was measured by following the incorporation of radioactivity from CDP-[1,2-14C]ethanolamine into PtdEtn in the presence of 1,2-dioleoylglycerol (16). The cell extract was prepared as described above for the choline phosphotransferase assay. The 0.2-ml reactions contained 75 mM Tris-Cl (pH 8), 10 mM MgCl2, 0.5 mM EGTA, 125 mM sucrose, 0.25 mM PMSF, 0.65 mM 1,2-dioleoylglycerol, 0.65 mM dioleoylphosphatidylcholine, 0.42% (w/v) Triton X-100, 0.2 mM CDP-[1,2-14C]ethanolamine (2.5 nCi/nmol), and 0.1 ml of parasite extract. The reaction was terminated by lipid extraction, and the chloroform phase was washed three times with 1.8 ml of CH3OH:PBS:CHCl3 (10:9:1.2, v/v/v). CDP-diacylglycerol-dependent Phosphatidylserine Synthase Assay CDP-diacylglycerol-dependent phosphatidylserine synthase activity was measured by following PtdSer synthesis from L-[3H]serine in the presence of CDP-diacylglycerol (17). The enzyme extract was prepared in 50 mM Tris-Cl buffer (pH 8), 0.25 M sucrose, 0.5 mM PMSF, and 10 mM 2-mercaptoethanol. The 0.21 ml assay contained 40 mM Tris-Cl (pH 8), 0.6 mM MnCl2, 0.19 mM CDP-diacylglycerol, 0.25% (w/v) Triton X-100, 120 mM sucrose, 0.24 mM PMSF, 5 mM 2-mercaptoethanol, 0.95 mM [3H]serine (10 nCi/nmol), and 0.1 ml of cell extract. The reaction was terminated by lipid extraction. Base Exchange-dependent Phosphatidylserine Synthase AssayBase exchange-dependent phosphatidylserine synthase activity was measured by following PtdSer synthesis in the presence of L-[3H]serine, PtdEtn, and calcium. The cell extract was prepared in 10 mM Na-HEPES (pH 8), 0.25 M sucrose, 0.5 mM PMSF, and 10 mM 2-mercaptoethanol. The 0.2-ml assay contained 25 mM Na-HEPES (pH 8), 10 mM CaCl2, 0.1 mM dioleoyl PtdEtn, 0.1% (w/v) Triton X-100, 125 mM sucrose, 5 mM 2-mercaptoethanol, 0.25 mM PMSF, 1 mM [3H]serine (100 nCi/nmol), and 0.1 ml of the cell extract. Where indicated CaCl2 was omitted and replaced with 5 mM EDTA. The reaction was terminated by lipid extraction followed by four backwashes with 1.8 ml of CH3OH: PBS:CHCl3 (10:9:1.2, v/v/v). The lipid was dried, resuspended in 50 µl of CHCl3, and analyzed on a silica gel H plate in chloroform:methanol: 2-propanol:aqueous KCl (0.25%):triethylamine (90:28:75:18:54, v/v). The PtdSer and its decarboxylated product, PtdEtn, were identified by co-migration with standards, recovered from the plate, and subjected to liquid scintillation spectrometry. [3H]Uracil Labeling of ParasitesThe parasite RNA metabolism was examined by measuring the incorporation of [3H]uracil into nucleic acids. The HFF cells were grown in 24-well plates until reaching confluence and then infected with parasites at a multiplicity of 2. The cells were treated with 2 mM Etn(Me)2 at the time of infection as described in the figure legends. After 6 h of incubation the noninvading parasites were removed by washing the monolayer twice with PBS. The cultures were shifted to complete medium supplemented with 5 µCi/well [3H]uracil. After 16 h in the presence of radioisotope the wells were washed with cold PBS and then treated with 10% trichloroacetic acid for 15 min on ice to precipitate macromolecules. Subsequently the precipitate was washed with cold PBS and neutralized with 200 µl of 0.2 M NaOH. The solubilized macromolecules were recovered after shaking for 15 min at 37 °C. The radioactivity was quantified by liquid scintillation spectrometry. Electron Microscopy of ToxoplasmaInfected human foreskin fibroblasts were fixed with 2.5% glutaraldehyde (Electron Microscopy Sciences) in 0.1 M sodium cacodylate buffer (pH 7.4) for 1 h at room temperature and then processed for thin section transmission electron microscopy as described previously (18) before examination with a Philips CM120 electron microscope (Eindhoven, The Netherlands) under 80 kV.
Toxoplasma Can Metabolize Free Serine into PtdSer and PtdEtnT. gondii is an obligate intracellular parasite with only a brief extracellular phase when propagated in vitro. The viability of the parasite declines with a t of 10 h outside the host cell (19). We examined phospholipid synthesis in extracellular parasites to assess the capacity of the organism for autonomous membrane biogenesis. The aminoglycerophospholipids PtdCho, PtdEtn, and PtdSer constitute the bulk of membrane polar lipids in most animal eukaryotes. Initially we examined the metabolism of [3H]Ser and found that this precursor was readily incorporated into the parasite lipid pool (Fig. 1A). The lipid synthesis was nearly linear for the first 2 h and then slowed progressively over the ensuing 4 h of incubation. The two major lipids synthesized from [3H]Ser were PtdSer and PtdEtn as determined by thin layer chromatography shown in Fig. 2. Two minor lipids co-migrated with PtdCho and PtdIns regions of thin layer plates. However, unlike PtdCho and PtdIns, these lipids were stable against alkaline deacylation suggesting they are sphingolipids that are expected to also be labeled with [3H]Ser. Further identification of these minor lipids was not undertaken in this study.
Initially [3H]Ser was metabolized to PtdSer that was rapidly decarboxylated to PtdEtn (Fig. 2). We failed to detect any evidence of significant methylation of nascent PtdEtn to form PtdCho (see also [3H]Etn labeling studies described below). We also considered that the parasite might require exogenous S-adenosylmethionine, the methyl group donor for PtdEtn methylation in eukaryotes. We performed the same experiment with [3H]Ser labeling in the presence of 1 mM S-adenosylmethionine but failed to detect any significant PtdCho synthesis or any qualitative or quantitative change in the overall lipid biosynthesis (data not shown). We also carried out this experiment in intracellular type (high K+/Na+) as well as extracellular type (high Na+/K+) medium but found no differences in Ser metabolism. From these experiments we conclude that the parasite has active PtdSer synthase and PtdSer decarboxylase but negligible PtdEtn methyltransferase. Toxoplasma Can Metabolize Etn into PtdEtn but Does Not Methylate the LipidWe next examined the metabolism of [3H]Etn by the free parasite. As shown in Fig. 1A, T. gondii could also acquire Etn from its environment and readily incorporate it into polar lipids. Like Ser, the metabolism of Etn also showed a time-dependent increase in lipid synthesis that progressively slowed over a 6-h period. The major lipid produced was PtdEtn (Fig. 3). Other minor lipids co-migrating with PtdSer, PtdCho, and PtdIns were also observed, but their identities are not known. Similar to experiments with [3H]Ser, we did not find evidence for any significant conversion of PtdEtn to PtdCho. In addition, supplementation of cultures with 1 mM S-adenosylmethionine also failed to produce any PtdCho from [3H]Etn. From these studies we conclude that T. gondii can readily synthesize PtdEtn from Etn and that the resultant pool of phospholipid is not converted to PtdCho.
Toxoplasma Can Metabolize Choline into PtdChoThe incorporation of [3H]Cho into the polar lipids of T. gondii was also examined. The extracellular T. gondii could readily acquire Cho from the medium (Fig. 1B) and metabolized it into PtdCho (Fig. 4). The Cho metabolism was linear for 6 h in extracellular type medium (high Na+/K+), although it showed a very high interexperimental variation for unknown reasons. The major lipid synthesized was PtdCho, and no other lipid classes were significantly labeled under our experimental conditions. When labeling experiments were conducted in intracellular type medium (high K+/Na+), we typically observed a doubling of the amount of PtdCho synthesized as compared with extracellular type medium.
Quantification of the phospholipid profile of the free parasite by chemical measurement of phosphorus demonstrated that PtdCho was the most prevalent lipid and accounted for about 75% of the total phospholipid. The next most abundant lipids were PtdEtn (10%), PtdIns (7.5%), PtdSer (6%), and PtdOH (1%). The parasite phospholipid class distribution was significantly different from that of the host cell, described later in Fig. 9. Comparing the uptake of all lipid precursors tested in this study, Etn showed the fastest rate of metabolism under the extracellular ionic conditions followed by Cho and Ser. In the intracellular type medium, the metabolism of Ser and Etn was largely unaffected but that of Cho was increased about 2-fold (see Fig. 1B), suggesting that Cho metabolism may be upregulated in response to parasitic invasion of host cells. The lipid precursors described in the preceding experiments were used at concentrations within the range of tissue culture media. We conducted additional experiments using precursor concentrations that gave maximal rates of incorporation into lipid. The results of these experiments are shown in Fig. 5. The maximum rates of PtdSer, PtdEtn, and PtdCho synthesis were 4.2, 12.4, and 8.2 nmol/8 h, respectively, for aliquots of 108 cells. These rates of phospholipid synthesis were sufficient for a cell doubling for PtdEtn, 50% of that required for PtdSer, and 9% of that required for a cell doubling for PtdCho. These estimates were based upon a phospholipid content of T. gondii of 130 nmol/108 cells as determined by measurement of lipid phosphorus.
Lipid Enzymology Identifies the Major Pathways for Aminoglycerophospholipid SynthesisIn conjunction with the in vivo labeling of T. gondii, we also measured the activities of key enzymes in phospholipid biosynthesis in extracts prepared from isolated parasites (Table I). As anticipated from the [3H]Etn and [3H]Cho incorporation data, the terminal enzymes of the Kennedy pathways for PtdEtn and PtdCho synthesis (20) were measurable in homogenates prepared from the parasites. Both Cho phosphotransferase and Etn phosphotransferase activities increased 2-fold in the presence of exogenous 1,2-dioleoylglycerol. The Cho phosphotransferase activity was more than twice the rate of Etn phosphotransferase activity as shown in Table I. PtdSer synthase was measured using methods for the base exchange activity and the CDP-diacylglycerol-dependent activity. The base exchange activity was Ca2+- and phospholipid-dependent. Chelation of Ca2+ with EDTA eliminated catalytic activity. The inclusion of PtdEtn in the reaction, as a donor of the phosphatidyl moiety, increased the catalytic activity 68-fold. Low activity for PtdSer synthesis was observed using conditions for the CDP-diacylglycerol-dependent reaction. We were unable to demonstrate any dependence of PtdSer synthesis upon the addition of CDP-diacylglycerol. The PtdSer decarboxylase activity (214 nmol/h/mg of protein) was 200-fold higher than that of the other lipid synthetic enzymes measured. The activity of the parasite PtdSer decarboxylase was also about 10-fold higher than that observed in extracts prepared from other eukaryotes including yeast (21) and mammalian cells (22). These enzymatic data complement the precursor utilization studies and identify the Kennedy pathways for PtdEtn and PtdCho synthesis, the base exchange pathway for PtdSer synthesis, and the PtdSer decarboxylase pathway for PtdEtn synthesis as active in T. gondii tachyzoites.
The Choline Analog Etn(Me)2 Inhibits T. gondii ReplicationThe de novo biosynthesis of PtdCho and its dominance as a major lipid in T. gondii membranes offered an excellent metabolic target to disrupt the membrane biogenesis of the parasite. We tested the effect of a choline analog, Etn(Me)2, on the intracellular replication of T. gondii. Previous studies with Etn(Me)2 in mammalian cells indicated it was an excellent choline analog that was extraordinarily well tolerated at high concentrations (10, 11). Surprisingly the presence of Etn(Me)2 in tissue culture medium caused a marked inhibition of parasite replication as shown in Fig. 6. In contrast, the host cells grew well and appeared morphologically normal when exposed to the choline analog (data not shown). We quantified parasite replication by measuring the number of parasites produced after 48 h of culture following infection of HFFs at a multiplicity of 4. Typically this infection produced 50100 parasites per host cell upon lysis after 48 h. The parasite number decreased with the increasing concentration of Etn(Me)2, and at 2 mM the yield was reduced by 99.5% (Fig. 6). Further decreases in parasite yield occurred at 4 and 8 mM Etn(Me)2, but these concentrations also reduced host cell growth. Therefore, we used 2 mM Etn(Me)2 or lower concentrations to perform further studies on parasite metabolism.
We next sought to determine the time frame for the efficacy of Etn(Me)2 upon parasite replication. HFF cells were incubated in Etn(Me)2 added at times ranging from 120 h before infection to 36 h after infection, and the consequences of these treatments were determined. The results shown in Fig. 7 reveal that the Etn(Me)2 remained almost fully effective at inhibiting parasite replication for up to 12 h after infection of the HFFs. Even when added at 24 h after parasite infection of HFFs, the choline analog was a potent inhibitor of parasite replication. We also observed that the effect of Etn(Me)2 was reversible such that removal of the analog allowed the parasites to begin to grow normally after a few days. From these observations we conclude that Etn(Me)2 is parasitostatic but not parasitocidal. We conducted additional experiments in which we manipulated the timing of HFF exposure to Etn(Me)2 either before or after infection and conclude that the analog has no discernible effect upon invasion or infection but only affects events occurring as the parasite begins to divide within the host cell (data not shown).
The RNA metabolism of the parasites was also examined by following the incorporation of [3H]uracil into macromolecular nucleic acids as shown in Fig. 8. The HFF cells either in the absence or presence of Etn(Me)2 incorporated negligible radioactivity into RNA. In contrast, the parasite-infected HFF cells incorporated relatively high levels of [3H]uracil into RNA compared with the host cells. Treatment of infected host cells with 2 mM Etn(Me)2 for 22 h reduced the amount of labeled RNA by 90% as shown in Fig. 8. This reduction in RNA synthesis corresponded to the level expected if the parasites remained viable but failed to double every 8 h as occurred in the relevant control cultures.
Metabolism of Etn(Me)2 by Host Cells and ParasitesPrevious studies have shown that Etn(Me)2 is readily taken up by tissue culture cells and incorporated into PtdEtn(Me)2 (10, 11). As shown in Fig. 9, the host cells used in these studies metabolized Etn(Me)2 into PtdEtn(Me)2 and gradually accumulated the lipid up to as much as 21% of total phospholipid after 5 days. The increase in PtdEtn(Me)2 was paralleled by a decrease in PtdCho. There were no significant changes in other cellular phospholipids, and the morphology of the cells examined by light microscopy appeared normal. We next examined the influence of Etn(Me)2 upon phospholipid metabolism of T. gondii within the host cell and after release from the host cell. To study the metabolism within the host cell, we grew infected HFFs for 48 h in the presence of 0.5 mM Etn(Me)2, which resulted in a reduced but adequate number of parasites for phospholipid analysis (see Fig. 6). The results of these experiments are shown in Fig. 10 and demonstrate that T. gondii accumulated up to 44% of its phospholipids as PtdEtn(Me)2 and concomitantly decreased the PtdCho content from 75 to 33% of total phospholipid. From these results we infer that, at 2 mM Etn(Me)2, the level of the PtdEtn(Me)2 in the parasite is likely to be substantially higher. Comparison of the PtdEtn(Me)2 levels of HFFs incubated with 2 mM Etn(Me)2 (see Fig. 9) reveals that after 48 h of incubation the lipid only comprised about 6% of the phospholipid pool of the host cell. Thus, the intracellular parasite has the ability to accumulate PtdEtn(Me)2 to more than 7-fold higher levels than the host cells.
The accumulation of PtdEtn(Me)2 by the parasite could be a consequence of de novo synthesis of the lipid by the organism or transfer of the preformed lipid from the host cell. Although the large discrepancy in PtdEtn(Me)2 content between the host cell and the parasite makes it likely that T. gondii synthesizes the lipid autonomously, we performed additional experiments to directly test this hypothesis. Isolated parasites were incubated in intracellular type medium containing H 332PO4 and lipid precursors in addition to 2 mM Etn(Me)2. After 4 h the lipids were extracted from the parasites and analyzed by thin layer chromatography and autoradiography. The results shown in Fig. 11 demonstrate that the parasite could actively synthesize 32P-labeled PtdCho, PtdIns, PtdOH, and PtdEtn. Inclusion of 2 mM Etn(Me)2 in the medium led to the synthesis of PtdEtn(Me)2 up to levels as high as 26% of the nascent phospholipid pool. From these results we conclude that the free parasite possesses the transport and enzymatic machinery to readily synthesize PtdEtn(Me)2. Repeatedly we observed that the PtdEtn(Me)2 and PtdEtn spots of the newly synthesized lipids consisted of well defined doublets that can be seen in Fig. 11A. We currently do not know the chemical basis of this finding.
In additional experiments we also examined the direct effects of Etn(Me)2 upon the incorporation of [3H]Cho into phospholipid by the free parasite. The results of these experiments shown in Fig. 12 reveal that Etn(Me)2 was a relatively weak inhibitor of choline uptake and metabolism to lipid. At the highest levels of Etn(Me)2 tested, the parasites remained able to synthesize PtdCho at 22% of the level found for untreated organisms. The effects of Etn(Me)2 on [3H]Cho metabolism were selective because there was no significant effect upon [3H]leucine incorporation into protein or [3H]Ser and [3H]Etn incorporation into lipid (data not shown).
Etn(Me)2 Markedly Alters Intracellular Parasite Morphology The impairment of parasite growth in Etn(Me)2-treated host cells was examined at the ultrastructural level and compared with control conditions (see Fig. 13). Under normal conditions, intracellular T. gondii divide by endodyogeny, which is a specialized form of reproduction, packaging two newly formed daughters within the cytoplasm of the mother cell. Incubation of parasites with 0.5 mM Etn(Me)2 resulted in a decrease in parasite number inside the PV (about 5 ± 2 parasites versus 10 ± 3 in untreated cells 24 h postinfection). In addition to normal dividing parasites (Fig. 13B, arrows), vacuolized, misshapen parasites (Fig. 13B, double arrow) were also present within the PV. This phenotype may be a consequence of a general slowdown in the formation of new progeny, concentrating more PtdEtn(Me)2 at each parasite replication. Alternatively a complete arrest of parasite growth after three cycles of division might occur as a result of PtdCho deficiency necessary for new membrane biogenesis. Quite strikingly, at 2 mM Etn(Me)2, the PV contained an average of 2 ± 2 parasites generally with abnormal electron lucent structures and unidentifiable organelles. Malformed progeny (Fig. 13C, arrows) and parasite ghosts (Fig. 13C, double arrow) were also frequently visible. This is strongly suggestive of a direct disruption of parasite multiplication and/or viability as a consequence of the massive PtdEtn(Me)2 accumulation in parasite membranes. Moreover large vesicles filled with membrane whorls were observed in the parasite cytoplasm, indicative of the accumulation of abnormal membrane lipid (Fig. 13C, inset). In sharp contrast, the host cells did not demonstrate any significant ultrastructural abnormalities upon Etn(Me)2 treatment. The parasitophorous vacuolar membrane of T. gondii is intimately associated with host cell mitochondria and endoplasmic reticulum (5, 6). This host organelle association has been postulated to play a role in lipid transport and possibly membrane scavenging from these organelles by intravacuolar parasites. Interestingly both host mitochondria and endoplasmic reticulum were clearly associated with the parasitophorous vacuolar membrane to the same extent in untreated and Etn(Me)2-treated cells (see Fig. 13). From these data we conclude that Etn(Me)2 not only alters parasite phospholipid synthesis and replication but also induces profound structural abnormalities in the membranes of T. gondii.
T. gondii is an important human pathogen capable of causing catastrophic disease in fetuses, neonates, transplant recipients, and immunocompromised individuals (13). Currently there is a paucity of information about the polar lipid metabolism of the parasite. In this report we characterized some of the fundamental features of aminoglycerophospholipid metabolism in the organism and identified a novel vulnerability of the parasite to manipulation of PtdCho metabolism.
Our initial studies identified the autonomous ability of the parasite to synthesize PtdSer, PtdEtn, and PtdCho. Under optimal conditions of soluble lipid precursor utilization we determined that free parasites have adequate synthetic capacity to produce all of the PtdEtn and 50% of the PtdSer required for a cell doubling. The free parasites could only synthesize Ptd-Cho at Both the precursor utilization experiments and the in vitro measurements of enzyme activity demonstrate that the parasite is capable of autonomous aminoglycerophospholipid synthesis outside the host cell. These studies clearly demonstrate the presence of the Kennedy pathways for PtdEtn and PtdCho synthesis, the base exchange pathway for PtdSer synthesis, and the PtdSer decarboxylase pathway as an additional route for PtdEtn synthesis. However, the quantification of the pathway rates either in intact parasites with precursors or by enzyme activity measurements reveals large discrepancies between the parasite's quantitative requirements for new lipids for replication and the synthetic output. These discrepancies may be indicative of significant down-regulation of enzyme activities when the parasites undergo the transition from the intracellular to the extracellular phase of the life cycle. The mechanisms of down-regulation could occur at any of several levels ranging from gene expression to post-translational modification of enzymes. Among the catalytic activities measured, PtdSer decarboxylase was the highest. In comparison with other organisms the decarboxylase activity in crude cell extracts was remarkably high, being 10-fold greater than the rates reported for yeast and mammalian cells. These high levels of catalytic activity suggest that PtdSer decarboxylase may play a previously unanticipated role in the biology of the parasite. Comparison of the precursor and enzymology studies with the genomic and dbEST information from T. gondii provides additional information about the ability of the parasite to synthesize lipids autonomously. The T. gondii dbEST of the National Center for Biotechnology Information (www.ncbi.nlm.nih.gov) contains entries (accession numbers in parentheses) with homology to key enzymes of the Kennedy pathway for the synthesis of PtdEtn and PtdCho including ethanolamine kinase (CF246471 [GenBank] ), choline kinase (CD217337 [GenBank] and CV654538 [GenBank] ), phosphoethanolamine cytidylyltransferase (CB369604 [GenBank] and CB372649 [GenBank] ), phosphocholine cytidylyltransferase (CN618346 [GenBank] and CF246047 [GenBank] ), and CDP-choline/CDP-ethanolamine phosphotransferase (AW702647 [GenBank] ). ESTs for base exchange-type PtdSer synthase (CO055801 [GenBank] and CB411622 [GenBank] ) and PtdSer decarboxylase (CV549797 [GenBank] , CO720987 [GenBank] , and CN199397 [GenBank] ) are also present. The genomic data base for T. gondii also contains sequences annotated to be putative CDP-diacylglycerol-dependent PtdSer synthase (CB025479 [GenBank] and CB186041 [GenBank] ), but we were unable to definitively detect this catalytic activity. Additional analysis will be required to elucidate whether this enzyme is present during other phases of the parasite life cycle. Our results provide some important insights into phospholipid metabolism that were not predictable for this apicomplexan parasite. T. gondii readily synthesizes PtdSer and converts a substantial quantity of the nascent phospholipid to PtdEtn. This level of PtdSer decarboxylation is high compared with that occurring in host cells but is similar to that of the related parasite P. falciparum. However, unlike Plasmodium, T. gondii shows no significant formation of PtdCho from Ser and Etn precursors (7, 23, 24). This is true for PtdEtn derived from free Etn as well as that derived from PtdSer. These findings demonstrate that T. gondii is a choline or PtdCho auxotroph. The reliance of T. gondii on an exogenous source of choline for PtdCho synthesis raises the possibility that this pathway may provide new opportunities for pharmacological attack upon its replication within host cells. We tested this idea by supplementing cultured cells with Etn(Me)2 and measuring the effects upon parasite growth and replication. Despite the findings that Etn(Me)2 acted as a choline analog and was innocuous to cultured mammalian cells (10), it profoundly altered the growth and lytic cycle of T. gondii tachyzoites. At a 2 mM concentration, the Etn(Me)2 greatly reduced the number of parasitophorous vacuoles visible in host cells and it also dramatically reduced the number of parasites visible per vacuole. Consequently the parasite burden per cell was greatly reduced over the course of infection, and the number of parasites lysing out of host cells at 48 h was reduced by almost 3 orders of magnitude. The degree of attenuation of RNA metabolism in the parasite was also completely consistent with the conclusion that parasite growth is only arrested by 2 mM Etn(Me)2. In addition, this effect upon parasite growth continued for several days past the normal 48-h period of host cell lysis. We know that the effects of Etn(Me)2 are parasitostatic because removal of this precursor from cultures led to recovery of the parasite over a period of 4896 h. Yet another interesting effect of Etn(Me)2 is the onset of its action. The Etn(Me)2 was highly effective when added at the time of infection or up to 12 h after infection. Even when added 24 h after infection, the Etn(Me)2 inhibited parasite production at the normal 48-h period by 88%. These findings are consistent with a rapid alteration in lipid metabolism that markedly attenuates parasite growth and division. A large number of choline analogs have been produced and evaluated for their ability to alter the growth of apicomplexan parasites, especially P. falciparum (25, 26). The major effect of these compounds appears to be alteration of PtdCho synthesis, but the exact mechanisms and sites of action of the most effective drugs are unclear. Etn(Me)2 has also been identified in these screens, but the details of perturbation of phospholipid metabolism have not been elucidated (25, 26). In the present study we found clear evidence that the accumulation of PtdEtn(Me)2 in conjunction with the reduction in PtdCho synthesis by T. gondii is particularly deleterious to the growth of the parasite within the host cell. The evidence that Etn(Me)2 markedly alters phospholipid metabolism comes from two experiments. In one experiment we used levels of Etn(Me)2 near the IC50 (0.5 mM) for parasite production, so we could evaluate the effect of the molecule upon the parasite phospholipid composition within the host cell. This experiment demonstrated that the parasites accumulated high levels of PtdEtn(Me)2, making it the major phospholipid within the cell. The levels of PtdEtn(Me)2 in the parasite greatly exceeded the amounts made within the host cell over the same time period (48 h) strongly implicating autonomous synthesis of PtdEtn(Me)2 by the parasite. In a second experiment we demonstrated the direct synthesis of PtdEtn(Me)2 by free parasites using Etn(Me)2 and H332PO4. The results clearly demonstrate that the parasite can synthesize PtdEtn(Me)2 independently of the host cell. In additional studies we also found evidence that Etn(Me)2 competes for the incorporation of [3H]Cho into PtdCho. Thus the synthesis of PtdEtn(Me)2 within the parasite occurs with a concomitant decline in PtdCho synthesis. As described above, the rate of synthesis of PtdCho observed for the free parasite was less than that necessary for a cell doubling. This observation raises the possibility that PtdCho could be acquired from the host cell after infection. However, the parasite appeared unable to obtain sufficient PtdCho from host cells to bypass the effects of either Etn(Me)2 treatment or PtdEtn (Me)2 accumulation. These findings suggest that the recovery of PtdCho from the host cell by T. gondii is likely to be a relatively inefficient process when PtdCho synthesis is compromised. The accumulation of PtdEtn(Me)2 also makes it unlikely that the parasite is capable of significant phospholipid methylation. PtdEtn(Me)2 is normally produced as an intermediate in the conversion of PtdEtn to PtdCho. Organisms capable of phospholipid methylation typically will convert PtdEtn(Me)2 to PtdCho very rapidly (9). Visualization of the parasites by electron microscopy revealed that Etn(Me)2 dramatically altered their membrane organization. Abnormal membrane structures and vacuolization were observed for cultures exposed to the choline analog. The micrographs suggest that the newly forming progeny are most profoundly affected in their membrane biogenesis. It remains unclear whether these alterations occurred as a consequence of depletion of PtdCho or the preponderance of PtdEtn(Me)2 in nascent membranes or both factors acting in concert.
In summary, our data provide an outline of aminoglycero-phospholipid synthesis in T. gondii demonstrative of autonomous synthesis of PtdSer, PtdEtn, and PtdCho. The PtdEtn can be formed from PtdSer as well as Etn. The autonomous synthesis of PtdEtn occurs at rates sufficient for cell division, whereas that of PtdCho occurs at
* This work was supported by National Institutes of Health Research Grants AI030060 (to K. A. J. and D. R. V.) and 2R37GM32453 (to D. R. V.). 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. || To whom correspondence should be addressed: Program in Cell Biology, Dept. of Medicine, National Jewish Medical and Research Center, 1400 Jackson St., Denver, CO 80206. Tel.: 303-398-1300; Fax: 303-398-1806; E-mail: voelkerd{at}njc.org.
1 The abbreviations used are: PV, parasitophorous vacuole; PtdSer, phosphatidylserine; PtdEtn, phosphatidylethanolamine; PtdCho, phosphatidylcholine; Etn(Me)2, N,N-dimethylethanolamine; PtdEtn(Me)2, phosphatidyldimethylethanolamine; MEM, minimal essential medium; HFF, human foreskin fibroblast; Etn, ethanolamine; Cho, choline; TLC, thin layer chromatography; PtdIns, phosphatidylinositol; PtdOH, phosphatidic acid; PBS, phosphate-buffered saline; PMSF, phenylmethyl-sulfonyl fluoride; EST, expressed sequence tag.
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