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Interaction of Laminin withEntamoeba histolyticaCysteine Proteinases and Its Effect on Amebic Pathogenesis

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The protozoan parasite Entamoeba histolytica is the caus- ative agent of human amebiasis. Invasive disease is character- ized by ulcerations of the intestinal wall and in some cases by invasion through the wall and dissemination to the liver, re- sulting in the clinical syndromes of amebic dysentery and liver abscess, respectively (8). Ultrastructural studies of experimen- talE. histolyticainfection revealed the degeneration of epithe- lial cells adjacent to invading trophozoites and the penetration of trophozoites into the lamina propria through the basement membrane (16). The interaction of amebic factors with com- ponents of the extracellular matrix potentially plays an impor- tant role in the penetration of trophozoites through the intes- tinal mucosa. In order to identify E. histolytica proteins that interact with components of the extracellular matrix, amebic lysates were fractionated over laminin-Sepharose,fibronectin- Sepharose, and collagen-Sepharose. We report here that E. histolytica27-kDa cysteine proteinases exhibit striking binding specificities for immobilized laminin over immobilized fi- bronectin or collagen. Furthermore, the coinjection of laminin but notfibronectin or collagen withE. histolyticatrophozoites greatly reduces liver abscess formation in severe combined immunodeficient (SCID) mice.
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INFECTION AND IMMUNITY, Oct. 1995, p. 4150–4153 Vol. 63, No. 10
0019-9567/95/$04.0010
Copyright q1995, American Society for Microbiology
Interaction of Laminin with Entamoeba histolytica Cysteine
Proteinases and Its Effect on Amebic Pathogenesis
ELLEN LI,
1,2
* WEN-GANG YANG,
1
TONGHAI ZHANG,
1
AND SAMUEL L. STANLEY, JR.
1,3
Departments of Medicine,
1
Biochemistry and Molecular Biophysics,
2
and Molecular Microbiology,
3
Washington University School of Medicine, Saint Louis, Missouri 63110
Received 13 April 1995/Returned for modification 22 May 1995/Accepted 31 July 1995
The Entamoeba histolytica 27-kDa cysteine proteinases exhibit striking binding specificities for immobilized
laminin over other components of the extracellular matrix, such as collagen and fibronectin. Inactivation of the
proteinase with the active-site inhibitor L-trans-epoxysuccinyl-leucylamido(4-guanidino)butane abolishes lami-
nin binding by the enzyme, and conversely, laminin inhibits cleavage of a fluorogenic dipeptide substrate of the
amebic cysteine proteinase, suggesting that the substrate binding pocket of the enzyme is involved in the
binding of laminin. The addition of laminin but not fibronectin or collagen to E. histolytica trophozoites
significantly reduces amebic liver abscess formation in severe combined immunodeficient mice, further sup-
porting the hypothesis that E. histolytica cysteine proteinases play an important role in amebic pathogenesis.
The specific interaction of amebic proteinases with laminin may be exploited in designing new inhibitors of
these enzymes.
The protozoan parasite Entamoeba histolytica is the caus-
ative agent of human amebiasis. Invasive disease is character-
ized by ulcerations of the intestinal wall and in some cases by
invasion through the wall and dissemination to the liver, re-
sulting in the clinical syndromes of amebic dysentery and liver
abscess, respectively (8). Ultrastructural studies of experimen-
tal E. histolytica infection revealed the degeneration of epithe-
lial cells adjacent to invading trophozoites and the penetration
of trophozoites into the lamina propria through the basement
membrane (16). The interaction of amebic factors with com-
ponents of the extracellular matrix potentially plays an impor-
tant role in the penetration of trophozoites through the intes-
tinal mucosa. In order to identify E. histolytica proteins that
interact with components of the extracellular matrix, amebic
lysates were fractionated over laminin-Sepharose, fibronectin-
Sepharose, and collagen-Sepharose. We report here that E.
histolytica 27-kDa cysteine proteinases exhibit striking binding
specificities for immobilized laminin over immobilized fi-
bronectin or collagen. Furthermore, the coinjection of laminin
but not fibronectin or collagen with E. histolytica trophozoites
greatly reduces liver abscess formation in severe combined
immunodeficient (SCID) mice.
MATERIALS AND METHODS
Materials. Laminin isolated from Engelbreth-Holm-Swarm sarcoma was pur-
chased from Boehringer Mannheim Biochemicals (Indianapolis, Ind.) and was
generously provided by Hynda Kleinman. Bovine fibronectin was purchased from
Calbiochem (San Diego, Calif.). Calf skin type I collagen coupled to Sepharose
(1 mg of beads per ml) was generously provided by Samuel Santoro.
Cells. E. histolytica HM1-IMSS trophozoites were obtained from the American
Type Culture Collection (Rockville, Md.). The amebas were grown in BI-S-33 as
previously described (3).
Ameba radiolabeling. Cultures (72 h) of amebic trophozoites were metaboli-
cally labeled with
35
Strans label (85% methionine, 15% cysteine, 50 mCi/ml;
ICN) in methionine-free minimal essential medium-alpha, supplemented with
0.1% bovine serum albumin (BSA)–5.7 mM cysteine for4hat358C. The cells
were harvested by chilling and low-speed centrifugation, washed with phosphate-
buffered saline (PBS), and solubilized. The solubilization buffer consisted of 1%
Nonidet P-40, 0.15 M NaCl, 1 mM CaCl
2
, 1 mM MgCl
2
, 5 mM phenylmethyl-
sulfonyl fluoride, and 5 mML-trans-epoxysuccinyl-leucylamido(4-guanidino)bu-
tane (E-64) in 10 mM Tris-Cl buffer, pH 8.0. The cell extracts were clarified after
centrifugation at 10,000 3gfor 5 min.
Affinity chromatography. Engelbreth-Holm-Swarm laminin or fibronectin was
conjugated to Sepharose CN 4B (Pharmacia LKB Biotechnology Inc.) at a ratio
of 1 mg of protein to 1 ml of Sepharose according to the manufacturer’s instruc-
tions. Under these conditions, 90% coupling was achieved, as monitored by the
A
280
of the protein solution after coupling. Aliquots of detergent extracts of
amebic trophozoites (0.5 ml, containing 1 310
6
to 1.5 310
6
cells) were incu-
bated with an equivalent volume of laminin-Sepharose overnight at 48C with
gentle agitation. The beads were washed with 10 volumes of buffer A (0.1%
Nonidet P-40, 150 mM NaCl, 10 mM Tris-HCl, pH 8.0), 10 volumes of buffer B
(0.1% Nonidet P-40, 500 mM NaCl, 10 mM Tris-HCl, pH 8.0), and 5 volumes of
buffer C (50 mM Tris-Cl, pH 6.8) as described by Woo et al. (21). Proteins bound
to laminin-Sepharose were eluted with Laemmli sample buffer or with 4 M urea.
In some experiments, 0.1 M N-acetyllactosamine or heparin (Sigma Chemical
Co., St. Louis, Mo.) (5 mg/ml) was added to the laminin-Sepharose incubations.
In order to inactivate the cysteine proteinase, trophozoite lysates were incubated
with 500 mM E-64 (1) at 258C for 20 min.
Protein purification and microsequencing analysis. Proteins bound to lami-
nin-Sepharose were resolved by sodium dodecyl sulfate–10% polyacrylamide gel
electrophoresis, electroblotted onto polyvinyldene difluoride, stained with Coo-
massie blue, excised, and subjected to microsequencing as described previously
(9).
Solid-phase binding assay of
125
I-labeled affinity-purified E. histolytica cys-
teine assay. Laminin affinity-purified E. histolytica cysteine proteinase (10 mg)
was iodinated by incubation of 1 mCi of Na
125
I in the presence of two Iodobeads
(Pierce) according to the manufacturer’s recommendations. The labeled cysteine
proteinase was further purified by gel filtration with a Superose-12 column in
PBS–2 mM dithiothreitol. Laminin, fibronectin, collagen, or BSA (8 mg) in PBS
was applied to 96-well polystyrene radioimmunoassay wells overnight at room
temperature. The plates were washed and blocked for 1 h with 0.5% BSA. The
wells were incubated at 48C with labeled E. histolytica cysteine proteinase (20 ng,
1,000 cpm/ng) and were aspirated, and the plates were washed three times with
0.5% BSA. The wells were excised and counted in a gamma counter. Each
experiment was carried out in quadruplicate.
Assays for proteolytic activity. Protease activity was assessed by gelatin sub-
strate gel electrophoresis as described previously (12). Protease activity was also
assayed by monitoring cleavage of a fluorogenic substrate, Boc-arginine-argi-
nine-4-amino-7-methylcoumarin (ZRR-AMC), as described previously (12). A
1-ml aliquot of laminin affinity-purified cysteine proteinase in 4 M urea was
added directly to the reaction mixture.
Effect of laminin on amebic liver abscess formation in SCID mice. SCID mice
were inoculated with 10
6
E. histolytica trophozoites in either 100 ml of BI-S-33
medium, 100 ml of BI-S-33 plus 20 mg of laminin, 100 ml of BI-S-33 plus 20 mg
of fibronectin, or 100 ml of BI-S-33 plus 20 mg of collagen as described previously
(14). After 48 h, SCID mice were sacrificed, their livers were removed and
inspected for the presence of amebic liver abscesses, abscesses and livers were
weighed, and the percentage of liver abscessed was calculated (14).
* Corresponding author. Mailing address: Washington University,
School of Medicine, Campus Box 8051, 660 S. Euclid Ave., St. Louis,
MO 63110. Phone: (314) 362-1070. Fax: (314) 362-9230.
4150
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RESULTS AND DISCUSSION
Detergent extracts of [
35
S]methionine-radiolabeled E. histo-
lytica trophozoites were incubated in the presence of laminin-
Sepharose. The beads were washed with 0.5 M NaCl, and the
bound proteins were analyzed by sodium dodecyl sulfate-poly-
acrylamide gel electrophoresis. As shown in Fig. 1A, two
closely spaced protein bands estimated to be approximately 27
kDa in molecular mass were observed. These were the only two
bands detected which withstood a high-concentration salt wash
of the column. Under these conditions, binding to neither
fibronectin-Sepharose nor collagen-Sepharose (Fig. 1A) was
observed. Binding was not inhibited by the addition of 0.1 M
N-acetyllactosamine or heparin (5 mg/ml), indicating that
binding was not lectin mediated or heparin dependent, as re-
ported for several other nonintegrin laminin-binding proteins
(5, 10, 15, 22). As shown in Fig. 1B, the E. histolytica laminin-
binding protein can also be isolated from conditioned culture
media. Coomassie blue staining of the affinity-purified protein
fraction, shown in Fig. 1C, confirmed that the 27-kDa laminin-
binding proteins were the predominant species retained on
laminin-Sepharose after the high-concentration salt wash.
To further characterize the 27-kDa laminin-binding pro-
teins, the affinity-purified proteins were subjected to microse-
quence analysis. The two protein bands could not be easily
separated on the polyvinylidene difluoride membrane. The
N-terminal sequence obtained from affinity-purified protein,
shown in Fig. 2, consequently revealed heterogeneity in the
sample. Comparison of the sequence with the deduced amino
acid sequence of two genes encoding homologous E. histolytica
27-kDa neutral cysteine proteinases, recently cloned by Tan-
nich and coworkers (17, 18), suggests that the laminin-Sepha-
rose affinity-purified fraction includes both cysteine protein-
ases.
The levels of binding of
125
I-labeled affinity-purified E. his-
tolytica cysteine proteinase to laminin, fibronectin, collagen,
and BSA adsorbed to the wells of a polystyrene radioimmu-
noassay plate were measured (Table 1). The addition of 50 mg
of soluble laminin to each well inhibited binding of the labeled
cysteine proteinase by 95% 62% (mean 6standard deviation;
n52). Thus, the E. histolytica cysteine proteinases appear to
exhibit a relative binding specificity for immobilized laminin
compared with those for other proteins which also serve as
substrates for these enzymes (6, 7, 13). The 27-kDa E. histo-
lytica cysteine proteinases belong to the papain superfamily
(17, 18).
125
I-labeled papain, a cysteine proteinase homologous
to the amebic cysteine proteases, does not exhibit increased
binding to immobilized laminin compared with those of fi-
bronectin, collagen, and BSA in this assay (Table 1).
The proteinase activity of the affinity-purified protein was
assessed by gelatin substrate gel electrophoresis. As shown in
Fig. 3, several clear bands, ranging from 30 to 69 kDa in
molecular mass, were observed, indicating that the affinity-
purified protein had proteinase activity. When the [
35
S]methi-
onine-labeled affinity-purified material was subjected to elec-
trophoresis through a gelatin substrate gel, several higher-
molecular-mass bands were observed, corresponding to the
bands of clearing (Fig. 3). That the cysteine protease has a larger
apparent molecular mass when subjected to electrophoresis
through a gelatin substrate gel under nonreducing conditions has
been reported by a number of investigators (6, 7).
E-64 is an inhibitor of cysteine proteinases which forms a
covalent link between the sulfur of the active-site cysteine and
the C-2 atom of the inhibitor (1). Although the inclusion of the
active-site protease inhibitor E-64 at concentrations as high as
0.5 mM in lysis buffer at 48C fails to inhibit binding of the
proteases to laminin (data not shown), preincubation of the
lysates at room temperature with 0.5 mM E-64 for 20 min
abolishes binding to laminin (Fig. 4). The temperature depen-
dence for the inhibitory effect of E-64 may reflect the relatively
low affinity of E-64 relative to laminin for the substrate pocket.
In the papain–E-64 complex, the inhibitor interacts with the S
subsites on the enzyme and causes a slight widening of the
active-site cleft (19), so that E-64 could also have an allosteric
effect on laminin binding.
Hydrolysis of the fluorogenic peptide substrate ZRR-AMC
by 0.5 U of laminin affinity-purified E. histolytica cysteine pro-
teinase is inhibited 93% 64% (mean 6standard deviation;
n54) by the addition of 0.1 mg of laminin per ml. In contrast,
FIG. 1. Laminin-Sepharose chromatography of E. histolytica extracts and
conditioned media. Detergent extracts of trophozoites were incubated in the
presence of laminin-Sepharose, fibronectin-Sepharose, or collagen-Sepharose
and analyzed by gel electrophoresis (for details, see Materials and Methods). (A)
Fluorogram of gel from [
35
S]methionine-labeled trophozoites. Total lysate is
shown in lane 1. Fractions eluted with 4 M urea after binding to collagen-
Sepharose (lane 2), fibronectin-Sepharose (lane 3), and laminin-Sepharose (lane
4) are also shown. (B) [
35
S]methionine-labeled conditioned media incubated
with laminin-Sepharose. (C) Coomassie blue-stained unlabeled cysteine protease
eluted from laminin-Sepharose. Molecular weight standards (in thousands) are
shown in the margins.
FIG. 2. Comparison of the N-terminal sequence of the 27-kDa laminin-binding
proteins with the amino acid sequences of two E. histolytica cysteine proteases.
At positions 3, 4, 7, and 10, two amino acid residues were detected. The se-
quences of Eh-CPp1 and EH-CPp2 are derived from the work of Tannich et al.
(18).
TABLE 1. Binding of
125
I-labeled affinity-purified E. histolytica
cysteine proteinase and papain
a
Binding to: cpm (mean 6SD) of bound:
Cysteine proteinase Papain
Laminin 1,900 6200 100 620
Fibronectin 70 610 150 620
Collagen 70 620 60 620
BSA 40 620 50 610
a
Each experiment was carried out in quadruplicate wells as described in
Materials and Methods. The values shown represent the means 6standard
deviations of two separate experiments.
VOL. 63, 1995 E. HISTOLYTICA CYSTEINE PROTEINASE BINDING TO LAMININ 4151
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the addition of 0.1 mg of collagen per ml has no significant
effect on hydrolysis of the fluorogenic peptide substrate by the
laminin affinity-purified E. histolytica cysteine proteinase.
These results also suggest that the substrate binding pocket of
the enzyme is involved in the binding of laminin.
E. histolytica cysteine proteinases appear to play important
roles in the pathogenesis of invasive amebiasis. The degrees of
inflammation and necrosis produced by different strains of E.
histolytica correlate with proteinase activity in animal models
(4, 11, 12). Inhibition of amebic protease activity markedly
reduces the inflammatory lesions resulting from highly virulent
E. histolytica (11). We have previously reported immunohisto-
chemical studies of tissue sections of a SCID mouse amebic
liver abscess which indicate that significant quantities of extra-
cellular E. histolytica cysteine proteinase are present within the
amebic liver abscess and have shown that treatment of E.
histolytica trophozoites with the cysteine proteinase inhibitor
E-64 blocked or greatly reduced liver abscess formation in
SCID mice (14). We have shown that E. histolytica cysteine
proteinases bind to laminin tightly and that laminin inhibits the
cleavage of other substrates. In order to examine the effect of
laminin on amebic pathogenesis in vivo, we examined whether
the coinjection of trophozoites with laminin would alter ame-
bic liver abscess formation (Table 2). SCID mice were injected
with 10
6
trophozoites in 100 ml of BI-S-33 (serum-free) me-
dium alone or medium containing 20 mg of either laminin,
fibronectin, or collagen. The addition of laminin, fibronectin,
or collagen did not affect the viability (90 to 95% by trypan
blue exclusion), nor did it visibly affect the motility of the
trophozoites in the inoculum prepared as described after in-
cubation at 378C for up to 4 h. All 12 control animals had
amebic liver abscesses, with a mean of 24% 616% (mean 6
standard deviation) of the total liver abscessed. The mean
abscess size for the 19 mice receiving trophozoites treated with
laminin was 4% 67%, with 9 animals having no detectable
abscesses. Thus, the amebic liver abscesses were significantly
smaller in mice inoculated with trophozoites that had been
coinjected with laminin than those in the control animals (P,
0.001). In contrast, the amebic liver abscesses in mice inocu-
lated with trophozoites that had been coinjected with fibronec-
tin or with collagen were not significantly smaller than those in
the control animals (Table 2).
The effect of laminin compared with the effects of fibronec-
tin and collagen on amebic liver abscess formation in vivo thus
appears to correlate with the tight binding of E. histolytica
cysteine proteinases to immobilized laminin compared with
their binding to immobilized fibronectin and collagen observed
in vitro. The results are consistent with the hypothesis that the
E. histolytica cysteine proteinases play important roles in the
development of amebic liver abscess in the SCID mouse model
and with the inhibitory effects of laminin on amebic cysteine
proteinase activity. However laminin is a large (;900-kDa)
multidomain complex that exhibits multiple biological activi-
ties, including cell adhesion and cell migration (2), and one
cannot exclude the possibility that the in vivo effects of laminin
on amebic liver abscess formation are due to interactions of
laminin with the trophozoite other than inhibition of proteo-
lytic activity. It is interesting that in an animal model of a
FIG. 3. Gelatin substrate gel electrophoresis of proteinase activity of the
27-kDa laminin-binding proteins. Lane 1, Coomassie blue-stained gelatin sub-
strate gel of
35
S-labeled 27-kDa affinity-purified laminin-binding protein. Lane 2,
fluorogram of the gelatin substrate gel of
35
S-labeled 27-kDa affinity-purified
laminin-binding protein. Molecular weight standards (in thousands) are noted in
the margin.
FIG. 4. Inhibition of laminin binding by inactivation of the cysteine protein-
ase with E-64. Shown are fluorograms of laminin-Sepharose affinity-purified
fractions from detergent lysates of [
35
S]methionine-labeled trophozoites incu-
bated in the presence (1) or absence (blank) of 0.5 mM E-64 prior to incubation
with laminin-Sepharose. Molecular weight standards (in thousands) are indi-
cated in the margin.
TABLE 2. Inhibition of amebic liver abscess formation in
SCID mice by administration of laminin with
E. histolytica trophozoites
Inhibitor n
a
% liver abscessed
(mean 6SD) P
b
Control medium 12 24 616
Laminin 19 4 67,0.001
Fibronectin 10 15 66 0.124
Collagen 10 17 69 0.25
a
n, number of SCID mice in each group. The results represent the totals from
three separate experiments for control and laminin groups and two experiments
which included the fibronectin and collagen groups.
b
Pvalues are derived from the two-tailed ttest for comparisons between each
of the listed inhibitors and the control group for percentages of liver abscessed.
The mean abscess size for SCID mice to which laminin was administered as an
inhibitor was also significantly smaller compared with that when fibronectin (P,
0.001) and collagen (P,0.001) were used as inhibitors.
4152 LI ET AL. INFECT.IMMUN.
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fungal pathogen, Paracoccidioides brasiliensis, which binds to
laminin via a surface glycoprotein receptor, the coinjection of the
organisms with 20 mg of laminin enhances pathogenicity (20).
In summary, the E. histolytica cysteine proteinases exhibit
striking binding specificities for immobilized laminin over
other components of the extracellular matrix. Treatment of
amebic trophozoites with laminin at the time of their inocula-
tion into SCID mice results in significantly decreased liver
abscess size, which may be secondary to the inhibition of the
amebic cysteine proteinases. The structural basis for the inter-
action of the amebic cysteine proteinases with laminin may be
potentially exploited in designing specific inhibitors of these
enzymes.
ACKNOWLEDGMENTS
We thank R. Mecham and E. Brown for many helpful discussions.
We thank K. Myung for excellent technical assistance.
This work was supported by the National Institutes of Health grants
RO1 AI30084 and PO1 AI37977 and a grant from the Monsanto Co.
E.L. is the recipient of NIH Research Career Development Award
DK-02072. S.L.S. is the recipient of NIH Research Career Develop-
ment Award AI01231.
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VOL. 63, 1995 E. HISTOLYTICA CYSTEINE PROTEINASE BINDING TO LAMININ 4153
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... Inactivation of the CP with the active-site inhibitor E-64 abolishes laminin binding by the enzyme, and conversely, laminin inhibits the cleavage of a fluorogenic dipeptide substrate of the CP, suggesting that the substrate binding pocket of the enzyme binds to laminin. Furthermore, the addition of laminin but not fibronectin or collagen to amoebae significantly reduces amoebic liver abscess formation in severe combined immunodeficient (SCID) mice, further supporting the assumption that CPs play an important role in amoebic pathogenesis [21]. An in vitro model was developed to analyze the adhesion to and cleavage of human fibronectin-covered surfaces. ...
... Purified amoebic CPs possess IL- 1í µí»½ converting enzyme (ICE or caspase-1) activity in vitro, cleaving recombinant human pIL-1í µí»½ into a biologically active form of IL-1í µí»½ [22]. These purified proteases are most likely EhCP1 and EhCP2 [21, 22]. In this work, the authors postulate that amoebae first bind to intestinal epithelial cells and then lyse those cells through the action of amoebapore [175, 176]. ...
... Inactivation of the CP with the active-site inhibitor E-64 abolishes laminin binding by the enzyme, and conversely, laminin inhibits the cleavage of a fluorogenic dipeptide substrate of the CP, suggesting that the substrate binding pocket of the enzyme binds to laminin. Furthermore, the addition of laminin but not fibronectin or collagen to amoebae significantly reduces amoebic liver abscess formation in severe combined immunodeficient (SCID) mice, further supporting the assumption that CPs play an important role in amoebic pathogenesis [21]. An in vitro model was developed to analyze the adhesion to and cleavage of human fibronectin-covered surfaces. ...
... Purified amoebic CPs possess IL- 1í µí»½ converting enzyme (ICE or caspase-1) activity in vitro, cleaving recombinant human pIL-1í µí»½ into a biologically active form of IL-1í µí»½ [22]. These purified proteases are most likely EhCP1 and EhCP2 [21, 22]. In this work, the authors postulate that amoebae first bind to intestinal epithelial cells and then lyse those cells through the action of amoebapore [175, 176]. ...
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The standard reference for pathogenic and nonpathogenic amoebae is the human parasite ; a direct correlation between virulence and protease expression has been demonstrated for this amoeba. Traditionally, proteases are considered virulence factors, including those that produce cytopathic effects in the host or that have been implicated in manipulating the immune response. Here, we expand the scope to other amoebae, including less-pathogenic species and highly pathogenic free-living amoebae. In this paper, proteases that affect mucin, extracellular matrix, immune system components, and diverse tissues and cells are included, based on studies in amoebic cultures and animal models. We also include proteases used by amoebae to degrade iron-containing proteins because iron scavenger capacity is currently considered a virulence factor for pathogens. In addition, proteases that have a role in adhesion and encystation, which are essential for establishing and transmitting infection, are discussed. The study of proteases and their specific inhibitors is relevant to the search for new therapeutic targets and to increase the power of drugs used to treat the diseases caused by these complex microorganisms.
... In several studies, a direct correlation between CP activity and ALA formation was observed [19,[28][29][30][31] . In addition , ALA formation can be inhibited by specific cysteine peptidase inhibitors, and overexpression and silencing of individual E. histolytica cp genes can alter the ALAs-inducing ability of amoebae [3, 6,[32][33][34][35][36]. Furthermore, several studies indicate that especially EhCP-A5 is involved in the invasion process into the intestinal mucosa [37][38][39]. ...
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We here compared pathogenic (p) and non-pathogenic (np) isolates of Entamoeba histolytica to identify molecules involved in the ability of this parasite to induce amoebic liver abscess (ALA)-like lesions in two rodent models for the disease. We performed a comprehensive analysis of 12 clones (A1-A12) derived from a non-pathogenic isolate HM-1:IMSS-A and 12 clones (B1-B12) derived from a pathogenic isolate HM-1:IMSS-B. "Non-pathogenicity" included the induction of small and quickly resolved lesions while "pathogenicity" comprised larger abscess development that overstayed day 7 post infection. All A-clones were designated as non-pathogenic, whereas 4 out of 12 B-clones lost their ability to induce ALAs in gerbils. No correlation between ALA formation and cysteine peptidase (CP) activity, haemolytic activity, erythrophagocytosis, motility or cytopathic activity was found. To identify the molecular framework underlying different pathogenic phenotypes, three clones were selected for in-depth transcriptome analyses. Comparison of a non-pathogenic clone A1np with pathogenic clone B2p revealed 76 differentially expressed genes, whereas comparison of a non-pathogenic clone B8np with B2p revealed only 19 differentially expressed genes. Only six genes were found to be similarly regulated in the two non-pathogenic clones A1np and B8np in comparison with the pathogenic clone B2p. Based on these analyses, we chose 20 candidate genes and evaluated their roles in ALA formation using the respective gene-overexpressing transfectants. We conclude that different mechanisms lead to loss of pathogenicity. In total, we identified eight proteins, comprising a metallopeptidase, C2 domain proteins, alcohol dehydrogenases and hypothetical proteins, that affect the pathogenicity of E. histolytica.
... However, occasionally E. histolytica penetrates the intestinal mucosa, which leads to ulcerative colitis or it disseminates to other organs, most commonly to the liver, where it induces abscess formation. Cysteine peptidases are considered to play a major role for the pathogenicity of E. histolytica as suggested by a large number of in vitro and in vivo studies [1][2][3][4][5][6][7][8][9]. Most convincing are results from infections of laboratory animals indicating that E. histolytica trophozoites that have reduced cysteine peptidase activity are greatly impaired in their ability to induce amoebic liver abscesses [8,9]. ...
... In vitro, purified amebapores showed bactericidal activity against Gram-positive bacteria at nanomolar concentration Purified amebapores are cytotoxic to Jurkat or U937 cells at micromolar concentration Leippe et al., 1994;Andrä et al., 2003 Cysteine proteinases (CPs) At least 50 CP genes are encoded and some of them are secretory Tillack et al., 2007 Proteinases act on a variety of host substrates such as mucin, villin, laminin, collagen, proteoglycan, and extracellular matrix (ECM). It plays a role in pathogenesis by cleaving MUC mucin and ECM degradation Li et al., 1995;Lidell et al., 2006 In vivo, overexpression of EhCP5 (EhCP5) increases liver abscess formation compared to wild-type controls. Other CPs like EhCP1 or EhCP2 overexpression had no effect Hellberg et al., 2001;Tillack et al., 2006 Membrane proteins: Gal/GalNAc lectin associated 35kDa light subunit of the Gal/GalNAc lectin and surface-localized thiol-dependent peroxidase Ankri et al., 1999;Sen et al., 2007 Antisense inhibition of both of these prevents cell killing and deceased liver abscess Ankri et al., 1999;Sen et al., 2007 EhSTIRPs (Eh serine, threonine and isoleucine rice proteins) ...
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Entamoeba histolytica (Eh) is a protozoan parasite that infects 10% of the world's population and results in 100,000 deaths/year from amebic dysentery and/or liver abscess. In most cases, this extracellular parasite colonizes the colon by high affinity binding to MUC2 mucin without disease symptoms, whereas in some cases, Eh triggers an aggressive inflammatory response upon invasion of the colonic mucosa. The specific host-parasite factors critical for disease pathogenesis are still not well characterized. From the parasite, the signature events that lead to disease progression are cysteine protease cleavage of the C-terminus of MUC2 that dissolves the mucus layer followed by Eh binding and cytotoxicity of the mucosal epithelium. The host mounts an ineffective excessive host pro-inflammatory response following contact with host cells that causes tissue damage and participates in disease pathogenesis as Eh escapes host immune clearance by mechanisms that are not completely understood. Ameba can modulate or destroy effector immune cells by inducing neutrophil apoptosis and suppressing respiratory burst or nitric oxide (NO) production from macrophages. Eh adherence to the host cells also induce multiple cytotoxic effects that can promote cell death through phagocytosis, apoptosis or by trogocytosis (ingestion of living cells) that might play critical roles in immune evasion. This review focuses on the immune evasion mechanisms that Eh uses to survive and induce disease manifestation in the host.
... Studies with trophozoites, in which amoebapore expression was decreased, or even completely inhibited (Bracha et al., 1999Bracha et al., , 2003 Zhang et al., 2004), have shown a considerable effect on amebic virulence in vitro or/and in vivo models. The same effect has been observed when cysteine proteinases were inhibited (Li et al., 1995; Stanley et al., 1995). With regard to cytokine production in infected slices, it is well known that these molecules play an important role in the interactions between pathogens and host cells. ...
Article
Precision-cut liver slices (PCLS) are mainly used to evaluate hepatotoxicity and metabolism of chemicals, as well as to study mechanisms of liver damage and repair. However, recently they have been used as a system to study amoebic infections. The aim of this study was to validate this model as an alternative for experimental amoebic liver absess (ALA) in animals. To do this, the PCLS was analyzed for the expression of amoebapore and cysteine proteinases 1 and 5, three of the most studied virulence factors of Entamoeba histolytica, as well as the induction of apoptosis and cytokines production in response to the ex vivo infection. PCHLS were prepared with the Brendel-Vitron tissue slicer and then, infected with 200,000 trophozoites of E. histolytica. Samples were taken at 0, 6, 12, 18, and 24h and compared to control non-infected slices. Morphological studies were performed in order to verify the infection; while apoptosis was studied by TUNEL and PAS techniques. The expression of cysteine proteinases (1 and 5), and amoebapore, was analyzed by real-time PCR. By using ELISA assays, the production of cytokines was also studied. PCHLS were found to be a reproducible infection system, and E. histolytica caused the expression of cysteine proteinases and amoebapore in infected slices. At the same time, trophozoites induce release of cytokines and apoptotic death of the hepatocytes close to them. PCHLS represent a new and suitable alternative model to study the pathogenesis of hepatic amoebiasis.
... It has been reported previously that protozoa that are pathogenic recognize components of the ECM (Gordon et al., 1993; Han et al., 2004; Rocha-Azevedo et al., 2007 Shibayama et al., 2003). For example, Entamoeba histolytica binds to ECM components, an interaction that may play an important role in its penetration of the intestinal mucosa (de Lourdes Muñoz et al., 2001; Li et al., 1995; Talamás-Rohana & Meza, 1988). Species of Acanthamoeba have been reported to bind to laminin-1, collagen IV and fibronectin (Gordon et al., 1993). ...
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Naegleria fowleri and Naegleria lovaniensis are closely related free-living amoebae found in the environment. N. fowleri causes primary amoebic meningoencephalitis (PAM), a rapidly fatal disease of the central nervous system, while N. lovaniensis is non-pathogenic. N. fowleri infection occurs when the amoebae access the nasal passages, attach to the nasal mucosa and its epithelial lining, and migrate to the brain. This process involves interaction with components of the host extracellular matrix (ECM). Since the ability to invade tissues can be a characteristic that distinguishes pathogenic from non-pathogenic amoebae, the objective of this study was to assess adhesion to, and invasion of, the ECM by these two related but distinct Naegleria species. N. fowleri exhibited a higher level of adhesion to the ECM components laminin-1, fibronectin and collagen I. Scanning electron microscopy revealed that N. fowleri attached on ECM substrata exhibited a spread-out appearance that included the presence of focal adhesion-like structures. Western immunoblotting revealed two integrin-like proteins for both species, but one of these, with a molecular mass of approximately 70 kDa, was detected at a higher level in N. fowleri. Confocal microscopy indicated that the integrin-like proteins co-localized to the focal adhesion-like structures. Furthermore, anti-integrin antibody decreased adhesion of N. fowleri to ECM components. Finally, N. fowleri disrupted 3D ECM scaffolds, while N. lovaniensis had a minimal effect. Collectively, these results indicate a distinction in adhesion to, and invasion of, ECM proteins between N. fowleri and N. lovaniensis.
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Surface molecules are of major importance for host-parasite interactions. During Entamoeba histolytica infections, these interactions are predicted to be of prime importance for tissue invasion, induction of colitis and liver abscess formation. To date, however, little is known about the molecules involved in these processes, with only about 20 proteins or protein families found exposed on the E. histolytica surface. We have therefore analyzed the complete surface proteome of E. histolytica. Using cell surface biotinylation and mass spectrometry, 694 putative surface-associated proteins were identified. In silico analysis predicted that approximately 26% of these proteins are membrane-associated, as they contain transmembrane domains and/or signal sequences, as well as sites of palmitoylation, myristoylation or prenylation. An additional 25% of the identified proteins likely represent non-classical secreted proteins. Surprisingly, no membrane-association sites could be predicted for the remaining 49% of the identified proteins. To verify surface localization, 23 proteins were randomly selected and analyzed by immunofluorescence microscopy. Of these 23 proteins, 20 (87%) showed definite surface localization. These findings indicate that a far greater number of E. histolytica proteins than previously supposed are surface-associated, a phenomenon that may be based on the high membrane turnover of E. histolytica.
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Cysteine peptidases (CPs) of Entamoeba histolytica are considered to be important pathogenicity factors. Previous studies have found that under standard axenic culture conditions, only four (ehcp-a1, ehcp-a2, ehcp-a5, and ehcp-a7) out of 35 papain-like ehcp genes present in the E. histolytica genome are expressed at high levels. Little is known about the expression of CPs in E. histolytica during amoebic liver abscess (ALA) formation. In the current study, a quantitative real-time PCR assay was developed to determine the expression of the various ehcp genes during ALA formation in animal models. Increased expression of four ehcp genes (ehcp-a3, -a4, -a10, and -c13) was detected in the gerbil and mouse models. Increased expression of another three ehcp genes (ehcp-a5, -a6, and -a7) was detected in the mouse model only, and two other ehcp genes (ehcp-b8 and -b9) showed increased expression in the gerbil model only. Trophozoites of the nonpathogenic E. histolytica HM-1:IMSS clone A1, which was unable to induce ALAs, were transfected with vectors enabling overexpression of those CPs that are expressed at high levels under culture conditions or during ALA formation. Interestingly, overexpression of ehcp-b8, -b9, and -c13 restored the pathogenic phenotype of the nonpathogenic clone A1 whereas overexpression of various other peptidase genes had no effect on the pathogenicity of this clone.
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