Bacillus anthracis lethal toxin reduces human alveolar epithelial barrier function

Infect Immun. 2012 Dec;80(12):4374-87. doi: 10.1128/IAI.01011-12. Epub 2012 Oct 1.

Abstract

The lung is the site of entry for Bacillus anthracis in inhalation anthrax, the deadliest form of the disease. Bacillus anthracis produces virulence toxins required for disease. Alveolar macrophages were considered the primary target of the Bacillus anthracis virulence factor lethal toxin because lethal toxin inhibits mouse macrophages through cleavage of MEK signaling pathway components, but we have reported that human alveolar macrophages are not a target of lethal toxin. Our current results suggest that, unlike human alveolar macrophages, the cells lining the respiratory units of the lung, alveolar epithelial cells, are a target of lethal toxin in humans. Alveolar epithelial cells expressed lethal toxin receptor protein, bound the protective antigen component of lethal toxin, and were subject to lethal-toxin-induced cleavage of multiple MEKs. These findings suggest that human alveolar epithelial cells are a target of Bacillus anthracis lethal toxin. Further, no reduction in alveolar epithelial cell viability was observed, but lethal toxin caused actin rearrangement and impaired desmosome formation, consistent with impaired barrier function as well as reduced surfactant production. Therefore, by compromising epithelial barrier function, lethal toxin may play a role in the pathogenesis of inhalation anthrax by facilitating the dissemination of Bacillus anthracis from the lung in early disease and promoting edema in late stages of the illness.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Actins / metabolism
  • Alveolar Epithelial Cells / cytology
  • Alveolar Epithelial Cells / drug effects*
  • Alveolar Epithelial Cells / metabolism
  • Alveolar Epithelial Cells / microbiology
  • Animals
  • Anthrax / microbiology
  • Anthrax / pathology*
  • Antigens, Bacterial / genetics
  • Antigens, Bacterial / toxicity*
  • Bacillus anthracis / genetics
  • Bacillus anthracis / metabolism
  • Bacillus anthracis / pathogenicity*
  • Bacterial Toxins / genetics
  • Bacterial Toxins / toxicity*
  • Calcium-Binding Proteins / genetics
  • Calcium-Binding Proteins / metabolism
  • Cells, Cultured
  • Humans
  • Membrane Proteins / genetics
  • Membrane Proteins / metabolism
  • Mice
  • Mixed Function Oxygenases / genetics
  • Mixed Function Oxygenases / metabolism
  • Muscle Proteins / genetics
  • Muscle Proteins / metabolism
  • Receptors, Peptide / genetics
  • Receptors, Peptide / metabolism
  • Respiratory Tract Infections / microbiology
  • Respiratory Tract Infections / pathology*
  • Virulence

Substances

  • Actins
  • Antigens, Bacterial
  • Bacterial Toxins
  • Calcium-Binding Proteins
  • Membrane Proteins
  • Muscle Proteins
  • Receptors, Peptide
  • anthrax toxin
  • anthrax toxin receptors
  • Mixed Function Oxygenases
  • ASPH protein, human

Supplementary concepts

  • Inhalation anthrax