Protective Effects of Alginate and Chitosan Oligosaccharides against <i>Clostridioides difficile</i> Bacteria and Toxin

<i>Clostridioides difficile</i> infection is expected to become the most common healthcare-associated infection worldwide. <i>C. difficile</i>-induced pathogenicity is significantly attributed to its enterotoxin, TcdA, which primarily targets Rho-GTPases involved in regulatin...

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Main Authors: Maria Eleni Mavrogeni, Mostafa Asadpoor, Jo H. Judernatz, Ingrid van Ark, Marc M. S. M. Wösten, Karin Strijbis, Roland J. Pieters, Gert Folkerts, Saskia Braber
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Toxins
Subjects:
Online Access:https://www.mdpi.com/2072-6651/15/10/586
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author Maria Eleni Mavrogeni
Mostafa Asadpoor
Jo H. Judernatz
Ingrid van Ark
Marc M. S. M. Wösten
Karin Strijbis
Roland J. Pieters
Gert Folkerts
Saskia Braber
author_facet Maria Eleni Mavrogeni
Mostafa Asadpoor
Jo H. Judernatz
Ingrid van Ark
Marc M. S. M. Wösten
Karin Strijbis
Roland J. Pieters
Gert Folkerts
Saskia Braber
author_sort Maria Eleni Mavrogeni
collection DOAJ
description <i>Clostridioides difficile</i> infection is expected to become the most common healthcare-associated infection worldwide. <i>C. difficile</i>-induced pathogenicity is significantly attributed to its enterotoxin, TcdA, which primarily targets Rho-GTPases involved in regulating cytoskeletal and tight junction (TJ) dynamics, thus leading to cytoskeleton breakdown and ultimately increased intestinal permeability. This study investigated whether two non-digestible oligosaccharides (NDOs), alginate (AOS) and chitosan (COS) oligosaccharides, possess antipathogenic and barrier-protective properties against <i>C. difficile</i> bacteria and TcdA toxin, respectively. Both NDOs significantly reduced <i>C. difficile</i> growth, while cell cytotoxicity assays demonstrated that neither COS nor AOS significantly attenuated the TcdA-induced cell death 24 h post-exposure. The challenge of Caco-2 monolayers with increasing TcdA concentrations increased paracellular permeability, as measured by TEER and LY flux assays. In this experimental setup, COS completely abolished, and AOS mitigated, the deleterious effects of TcdA on the monolayer’s integrity. These events were not accompanied by alterations in ZO-1 and occludin protein levels; however, immunofluorescence microscopy revealed that both AOS and COS prevented the TcdA-induced occludin mislocalization. Finally, both NDOs accelerated TJ reassembly upon a calcium-switch assay. Overall, this study established the antipathogenic and barrier-protective capacity of AOS and COS against <i>C. difficile</i> and its toxin, TcdA, while revealing their ability to promote TJ reassembly in Caco-2 cells.
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spelling doaj.art-5b11f8c5a56e4b7d8753ec04e12aaf612023-11-19T18:22:20ZengMDPI AGToxins2072-66512023-09-01151058610.3390/toxins15100586Protective Effects of Alginate and Chitosan Oligosaccharides against <i>Clostridioides difficile</i> Bacteria and ToxinMaria Eleni Mavrogeni0Mostafa Asadpoor1Jo H. Judernatz2Ingrid van Ark3Marc M. S. M. Wösten4Karin Strijbis5Roland J. Pieters6Gert Folkerts7Saskia Braber8Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, Universiteitsweg 99, 3584 CG Utrecht, The NetherlandsDivision of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, Universiteitsweg 99, 3584 CG Utrecht, The NetherlandsStructural Biochemistry Group, Bijvoet Centre for Biomolecular Research, Utrecht University, Universiteitsweg 99, 3584 CG Utrecht, The NetherlandsDivision of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, Universiteitsweg 99, 3584 CG Utrecht, The NetherlandsDivision of Infectious Diseases and Immunology, Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 1, 3584 CL Utrecht, The NetherlandsDivision of Infectious Diseases and Immunology, Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 1, 3584 CL Utrecht, The NetherlandsDivision of Medicinal Chemistry and Chemical Biology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, Universiteitsweg 99, 3584 CG Utrecht, The NetherlandsDivision of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, Universiteitsweg 99, 3584 CG Utrecht, The NetherlandsDivision of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, Universiteitsweg 99, 3584 CG Utrecht, The Netherlands<i>Clostridioides difficile</i> infection is expected to become the most common healthcare-associated infection worldwide. <i>C. difficile</i>-induced pathogenicity is significantly attributed to its enterotoxin, TcdA, which primarily targets Rho-GTPases involved in regulating cytoskeletal and tight junction (TJ) dynamics, thus leading to cytoskeleton breakdown and ultimately increased intestinal permeability. This study investigated whether two non-digestible oligosaccharides (NDOs), alginate (AOS) and chitosan (COS) oligosaccharides, possess antipathogenic and barrier-protective properties against <i>C. difficile</i> bacteria and TcdA toxin, respectively. Both NDOs significantly reduced <i>C. difficile</i> growth, while cell cytotoxicity assays demonstrated that neither COS nor AOS significantly attenuated the TcdA-induced cell death 24 h post-exposure. The challenge of Caco-2 monolayers with increasing TcdA concentrations increased paracellular permeability, as measured by TEER and LY flux assays. In this experimental setup, COS completely abolished, and AOS mitigated, the deleterious effects of TcdA on the monolayer’s integrity. These events were not accompanied by alterations in ZO-1 and occludin protein levels; however, immunofluorescence microscopy revealed that both AOS and COS prevented the TcdA-induced occludin mislocalization. Finally, both NDOs accelerated TJ reassembly upon a calcium-switch assay. Overall, this study established the antipathogenic and barrier-protective capacity of AOS and COS against <i>C. difficile</i> and its toxin, TcdA, while revealing their ability to promote TJ reassembly in Caco-2 cells.https://www.mdpi.com/2072-6651/15/10/586<i>C. difficile</i>TcdAAOSCOSintestinal epithelial barrierTJs
spellingShingle Maria Eleni Mavrogeni
Mostafa Asadpoor
Jo H. Judernatz
Ingrid van Ark
Marc M. S. M. Wösten
Karin Strijbis
Roland J. Pieters
Gert Folkerts
Saskia Braber
Protective Effects of Alginate and Chitosan Oligosaccharides against <i>Clostridioides difficile</i> Bacteria and Toxin
Toxins
<i>C. difficile</i>
TcdA
AOS
COS
intestinal epithelial barrier
TJs
title Protective Effects of Alginate and Chitosan Oligosaccharides against <i>Clostridioides difficile</i> Bacteria and Toxin
title_full Protective Effects of Alginate and Chitosan Oligosaccharides against <i>Clostridioides difficile</i> Bacteria and Toxin
title_fullStr Protective Effects of Alginate and Chitosan Oligosaccharides against <i>Clostridioides difficile</i> Bacteria and Toxin
title_full_unstemmed Protective Effects of Alginate and Chitosan Oligosaccharides against <i>Clostridioides difficile</i> Bacteria and Toxin
title_short Protective Effects of Alginate and Chitosan Oligosaccharides against <i>Clostridioides difficile</i> Bacteria and Toxin
title_sort protective effects of alginate and chitosan oligosaccharides against i clostridioides difficile i bacteria and toxin
topic <i>C. difficile</i>
TcdA
AOS
COS
intestinal epithelial barrier
TJs
url https://www.mdpi.com/2072-6651/15/10/586
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