The Myelin and Lymphocyte Protein MAL Is Required for Binding and Activity of Clostridium perfringens ε-Toxin.

Clostridium perfringens ε-toxin (ETX) is a potent pore-forming toxin responsible for a central nervous system (CNS) disease in ruminant animals with characteristics of blood-brain barrier (BBB) dysfunction and white matter injury. ETX has been proposed as a potential causative agent for Multiple Scl...

Full description

Bibliographic Details
Main Authors: Kareem Rashid Rumah, Yinghua Ma, Jennifer R Linden, Myat Lin Oo, Josef Anrather, Nicole Schaeren-Wiemers, Miguel A Alonso, Vincent A Fischetti, Mark S McClain, Timothy Vartanian
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-05-01
Series:PLoS Pathogens
Online Access:https://doi.org/10.1371/journal.ppat.1004896
_version_ 1818734764481314816
author Kareem Rashid Rumah
Yinghua Ma
Jennifer R Linden
Myat Lin Oo
Josef Anrather
Nicole Schaeren-Wiemers
Miguel A Alonso
Vincent A Fischetti
Mark S McClain
Timothy Vartanian
author_facet Kareem Rashid Rumah
Yinghua Ma
Jennifer R Linden
Myat Lin Oo
Josef Anrather
Nicole Schaeren-Wiemers
Miguel A Alonso
Vincent A Fischetti
Mark S McClain
Timothy Vartanian
author_sort Kareem Rashid Rumah
collection DOAJ
description Clostridium perfringens ε-toxin (ETX) is a potent pore-forming toxin responsible for a central nervous system (CNS) disease in ruminant animals with characteristics of blood-brain barrier (BBB) dysfunction and white matter injury. ETX has been proposed as a potential causative agent for Multiple Sclerosis (MS), a human disease that begins with BBB breakdown and injury to myelin forming cells of the CNS. The receptor for ETX is unknown. Here we show that both binding of ETX to mammalian cells and cytotoxicity requires the tetraspan proteolipid Myelin and Lymphocyte protein (MAL). While native Chinese Hamster Ovary (CHO) cells are resistant to ETX, exogenous expression of MAL in CHO cells confers both ETX binding and susceptibility to ETX-mediated cell death. Cells expressing rat MAL are ~100 times more sensitive to ETX than cells expressing similar levels of human MAL. Insertion of the FLAG sequence into the second extracellular loop of MAL abolishes ETX binding and cytotoxicity. ETX is known to bind specifically and with high affinity to intestinal epithelium, renal tubules, brain endothelial cells and myelin. We identify specific binding of ETX to these structures and additionally show binding to retinal microvasculature and the squamous epithelial cells of the sclera in wild-type mice. In contrast, there is a complete absence of ETX binding to tissues from MAL knockout (MAL-/-) mice. Furthermore, MAL-/- mice exhibit complete resistance to ETX at doses in excess of 1000 times the symptomatic dose for wild-type mice. We conclude that MAL is required for both ETX binding and cytotoxicity.
first_indexed 2024-12-18T00:10:33Z
format Article
id doaj.art-48225ba227d4434f91fe017f57c9a149
institution Directory Open Access Journal
issn 1553-7366
1553-7374
language English
last_indexed 2024-12-18T00:10:33Z
publishDate 2015-05-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS Pathogens
spelling doaj.art-48225ba227d4434f91fe017f57c9a1492022-12-21T21:27:40ZengPublic Library of Science (PLoS)PLoS Pathogens1553-73661553-73742015-05-01115e100489610.1371/journal.ppat.1004896The Myelin and Lymphocyte Protein MAL Is Required for Binding and Activity of Clostridium perfringens ε-Toxin.Kareem Rashid RumahYinghua MaJennifer R LindenMyat Lin OoJosef AnratherNicole Schaeren-WiemersMiguel A AlonsoVincent A FischettiMark S McClainTimothy VartanianClostridium perfringens ε-toxin (ETX) is a potent pore-forming toxin responsible for a central nervous system (CNS) disease in ruminant animals with characteristics of blood-brain barrier (BBB) dysfunction and white matter injury. ETX has been proposed as a potential causative agent for Multiple Sclerosis (MS), a human disease that begins with BBB breakdown and injury to myelin forming cells of the CNS. The receptor for ETX is unknown. Here we show that both binding of ETX to mammalian cells and cytotoxicity requires the tetraspan proteolipid Myelin and Lymphocyte protein (MAL). While native Chinese Hamster Ovary (CHO) cells are resistant to ETX, exogenous expression of MAL in CHO cells confers both ETX binding and susceptibility to ETX-mediated cell death. Cells expressing rat MAL are ~100 times more sensitive to ETX than cells expressing similar levels of human MAL. Insertion of the FLAG sequence into the second extracellular loop of MAL abolishes ETX binding and cytotoxicity. ETX is known to bind specifically and with high affinity to intestinal epithelium, renal tubules, brain endothelial cells and myelin. We identify specific binding of ETX to these structures and additionally show binding to retinal microvasculature and the squamous epithelial cells of the sclera in wild-type mice. In contrast, there is a complete absence of ETX binding to tissues from MAL knockout (MAL-/-) mice. Furthermore, MAL-/- mice exhibit complete resistance to ETX at doses in excess of 1000 times the symptomatic dose for wild-type mice. We conclude that MAL is required for both ETX binding and cytotoxicity.https://doi.org/10.1371/journal.ppat.1004896
spellingShingle Kareem Rashid Rumah
Yinghua Ma
Jennifer R Linden
Myat Lin Oo
Josef Anrather
Nicole Schaeren-Wiemers
Miguel A Alonso
Vincent A Fischetti
Mark S McClain
Timothy Vartanian
The Myelin and Lymphocyte Protein MAL Is Required for Binding and Activity of Clostridium perfringens ε-Toxin.
PLoS Pathogens
title The Myelin and Lymphocyte Protein MAL Is Required for Binding and Activity of Clostridium perfringens ε-Toxin.
title_full The Myelin and Lymphocyte Protein MAL Is Required for Binding and Activity of Clostridium perfringens ε-Toxin.
title_fullStr The Myelin and Lymphocyte Protein MAL Is Required for Binding and Activity of Clostridium perfringens ε-Toxin.
title_full_unstemmed The Myelin and Lymphocyte Protein MAL Is Required for Binding and Activity of Clostridium perfringens ε-Toxin.
title_short The Myelin and Lymphocyte Protein MAL Is Required for Binding and Activity of Clostridium perfringens ε-Toxin.
title_sort myelin and lymphocyte protein mal is required for binding and activity of clostridium perfringens ε toxin
url https://doi.org/10.1371/journal.ppat.1004896
work_keys_str_mv AT kareemrashidrumah themyelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT yinghuama themyelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT jenniferrlinden themyelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT myatlinoo themyelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT josefanrather themyelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT nicoleschaerenwiemers themyelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT miguelaalonso themyelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT vincentafischetti themyelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT marksmcclain themyelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT timothyvartanian themyelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT kareemrashidrumah myelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT yinghuama myelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT jenniferrlinden myelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT myatlinoo myelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT josefanrather myelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT nicoleschaerenwiemers myelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT miguelaalonso myelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT vincentafischetti myelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT marksmcclain myelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin
AT timothyvartanian myelinandlymphocyteproteinmalisrequiredforbindingandactivityofclostridiumperfringensetoxin