Clostridium perfringens epsilon toxin induces blood brain barrier permeability via caveolae-dependent transcytosis and requires expression of MAL.

Clostridium perfringens epsilon toxin (ETX) is responsible for causing the economically devastating disease, enterotoxaemia, in livestock. It is well accepted that ETX causes blood brain barrier (BBB) permeability, however the mechanisms involved in this process are not well understood. Using in viv...

Full description

Bibliographic Details
Main Authors: Jennifer R Linden, Claudia Flores, Eric F Schmidt, Francisco A Uzal, Adam O Michel, Marissa Valenzuela, Sebastian Dobrow, Timothy Vartanian
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-11-01
Series:PLoS Pathogens
Online Access:https://doi.org/10.1371/journal.ppat.1008014
_version_ 1818582040953487360
author Jennifer R Linden
Claudia Flores
Eric F Schmidt
Francisco A Uzal
Adam O Michel
Marissa Valenzuela
Sebastian Dobrow
Timothy Vartanian
author_facet Jennifer R Linden
Claudia Flores
Eric F Schmidt
Francisco A Uzal
Adam O Michel
Marissa Valenzuela
Sebastian Dobrow
Timothy Vartanian
author_sort Jennifer R Linden
collection DOAJ
description Clostridium perfringens epsilon toxin (ETX) is responsible for causing the economically devastating disease, enterotoxaemia, in livestock. It is well accepted that ETX causes blood brain barrier (BBB) permeability, however the mechanisms involved in this process are not well understood. Using in vivo and in vitro methods, we determined that ETX causes BBB permeability in mice by increasing caveolae-dependent transcytosis in brain endothelial cells. When mice are intravenously injected with ETX, robust ETX binding is observed in the microvasculature of the central nervous system (CNS) with limited to no binding observed in the vasculature of peripheral organs, indicating that ETX specifically targets CNS endothelial cells. ETX binding to CNS microvasculature is dependent on MAL expression, as ETX binding to CNS microvasculature of MAL-deficient mice was not detected. ETX treatment also induces extravasation of molecular tracers including 376Da fluorescein salt, 60kDA serum albumin, 70kDa dextran, and 155kDA IgG. Importantly, ETX-induced BBB permeability requires expression of both MAL and caveolin-1, as mice deficient in MAL or caveolin-1 did not exhibit ETX-induced BBB permeability. Examination of primary murine brain endothelial cells revealed an increase in caveolae in ETX-treated cells, resulting in dynamin and lipid raft-dependent vacuolation without cell death. ETX-treatment also results in a rapid loss of EEA1 positive early endosomes and accumulation of large, RAB7-positive late endosomes and multivesicular bodies. Based on these results, we hypothesize that ETX binds to MAL on the apical surface of brain endothelial cells, causing recruitment of caveolin-1, triggering caveolae formation and internalization. Internalized caveolae fuse with early endosomes which traffic to late endosomes and multivesicular bodies. We believe that these multivesicular bodies fuse basally, releasing their contents into the brain parenchyma.
first_indexed 2024-12-16T07:43:04Z
format Article
id doaj.art-6babc98edc8c4f5e95ba4222ccf5b958
institution Directory Open Access Journal
issn 1553-7366
1553-7374
language English
last_indexed 2024-12-16T07:43:04Z
publishDate 2019-11-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS Pathogens
spelling doaj.art-6babc98edc8c4f5e95ba4222ccf5b9582022-12-21T22:39:03ZengPublic Library of Science (PLoS)PLoS Pathogens1553-73661553-73742019-11-011511e100801410.1371/journal.ppat.1008014Clostridium perfringens epsilon toxin induces blood brain barrier permeability via caveolae-dependent transcytosis and requires expression of MAL.Jennifer R LindenClaudia FloresEric F SchmidtFrancisco A UzalAdam O MichelMarissa ValenzuelaSebastian DobrowTimothy VartanianClostridium perfringens epsilon toxin (ETX) is responsible for causing the economically devastating disease, enterotoxaemia, in livestock. It is well accepted that ETX causes blood brain barrier (BBB) permeability, however the mechanisms involved in this process are not well understood. Using in vivo and in vitro methods, we determined that ETX causes BBB permeability in mice by increasing caveolae-dependent transcytosis in brain endothelial cells. When mice are intravenously injected with ETX, robust ETX binding is observed in the microvasculature of the central nervous system (CNS) with limited to no binding observed in the vasculature of peripheral organs, indicating that ETX specifically targets CNS endothelial cells. ETX binding to CNS microvasculature is dependent on MAL expression, as ETX binding to CNS microvasculature of MAL-deficient mice was not detected. ETX treatment also induces extravasation of molecular tracers including 376Da fluorescein salt, 60kDA serum albumin, 70kDa dextran, and 155kDA IgG. Importantly, ETX-induced BBB permeability requires expression of both MAL and caveolin-1, as mice deficient in MAL or caveolin-1 did not exhibit ETX-induced BBB permeability. Examination of primary murine brain endothelial cells revealed an increase in caveolae in ETX-treated cells, resulting in dynamin and lipid raft-dependent vacuolation without cell death. ETX-treatment also results in a rapid loss of EEA1 positive early endosomes and accumulation of large, RAB7-positive late endosomes and multivesicular bodies. Based on these results, we hypothesize that ETX binds to MAL on the apical surface of brain endothelial cells, causing recruitment of caveolin-1, triggering caveolae formation and internalization. Internalized caveolae fuse with early endosomes which traffic to late endosomes and multivesicular bodies. We believe that these multivesicular bodies fuse basally, releasing their contents into the brain parenchyma.https://doi.org/10.1371/journal.ppat.1008014
spellingShingle Jennifer R Linden
Claudia Flores
Eric F Schmidt
Francisco A Uzal
Adam O Michel
Marissa Valenzuela
Sebastian Dobrow
Timothy Vartanian
Clostridium perfringens epsilon toxin induces blood brain barrier permeability via caveolae-dependent transcytosis and requires expression of MAL.
PLoS Pathogens
title Clostridium perfringens epsilon toxin induces blood brain barrier permeability via caveolae-dependent transcytosis and requires expression of MAL.
title_full Clostridium perfringens epsilon toxin induces blood brain barrier permeability via caveolae-dependent transcytosis and requires expression of MAL.
title_fullStr Clostridium perfringens epsilon toxin induces blood brain barrier permeability via caveolae-dependent transcytosis and requires expression of MAL.
title_full_unstemmed Clostridium perfringens epsilon toxin induces blood brain barrier permeability via caveolae-dependent transcytosis and requires expression of MAL.
title_short Clostridium perfringens epsilon toxin induces blood brain barrier permeability via caveolae-dependent transcytosis and requires expression of MAL.
title_sort clostridium perfringens epsilon toxin induces blood brain barrier permeability via caveolae dependent transcytosis and requires expression of mal
url https://doi.org/10.1371/journal.ppat.1008014
work_keys_str_mv AT jenniferrlinden clostridiumperfringensepsilontoxininducesbloodbrainbarrierpermeabilityviacaveolaedependenttranscytosisandrequiresexpressionofmal
AT claudiaflores clostridiumperfringensepsilontoxininducesbloodbrainbarrierpermeabilityviacaveolaedependenttranscytosisandrequiresexpressionofmal
AT ericfschmidt clostridiumperfringensepsilontoxininducesbloodbrainbarrierpermeabilityviacaveolaedependenttranscytosisandrequiresexpressionofmal
AT franciscoauzal clostridiumperfringensepsilontoxininducesbloodbrainbarrierpermeabilityviacaveolaedependenttranscytosisandrequiresexpressionofmal
AT adamomichel clostridiumperfringensepsilontoxininducesbloodbrainbarrierpermeabilityviacaveolaedependenttranscytosisandrequiresexpressionofmal
AT marissavalenzuela clostridiumperfringensepsilontoxininducesbloodbrainbarrierpermeabilityviacaveolaedependenttranscytosisandrequiresexpressionofmal
AT sebastiandobrow clostridiumperfringensepsilontoxininducesbloodbrainbarrierpermeabilityviacaveolaedependenttranscytosisandrequiresexpressionofmal
AT timothyvartanian clostridiumperfringensepsilontoxininducesbloodbrainbarrierpermeabilityviacaveolaedependenttranscytosisandrequiresexpressionofmal