High-Resolution Crystal Structures Elucidate the Molecular Basis of Cholera Blood Group Dependence

PLoS Pathog. 2016 Apr 15;12(4):e1005567. doi: 10.1371/journal.ppat.1005567. eCollection 2016 Apr.

Abstract

Cholera is the prime example of blood-group-dependent diseases, with individuals of blood group O experiencing the most severe symptoms. The cholera toxin is the main suspect to cause this relationship. We report the high-resolution crystal structures (1.1-1.6 Å) of the native cholera toxin B-pentamer for both classical and El Tor biotypes, in complexes with relevant blood group determinants and a fragment of its primary receptor, the GM1 ganglioside. The blood group A determinant binds in the opposite orientation compared to previously published structures of the cholera toxin, whereas the blood group H determinant, characteristic of blood group O, binds in both orientations. H-determinants bind with higher affinity than A-determinants, as shown by surface plasmon resonance. Together, these findings suggest why blood group O is a risk factor for severe cholera.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • ABO Blood-Group System / chemistry*
  • ABO Blood-Group System / metabolism*
  • Base Sequence
  • Cholera / blood*
  • Cholera Toxin / chemistry*
  • Cholera Toxin / metabolism*
  • Crystallography, X-Ray
  • Humans
  • Molecular Sequence Data
  • Protein Conformation
  • Surface Plasmon Resonance

Substances

  • ABO Blood-Group System
  • Cholera Toxin

Grants and funding

This study was financed by funds from the University of Oslo (including UiO-PES2020) and the Norwegian Research Council (grant no. 216625), received by JEH DB UK. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.