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Low pH-induced formation of ion channels by clostridium difficile toxin B in target cells

H Barth1, G Pfeifer, F Hofmann

  • 1Institut für Experimentelle und Klinische Pharmakologie und Toxikologie der Albert-Ludwigs-Universität Freiburg, D-79104 Freiburg, Germany.

Insights

Clostridium difficile toxin B enters cells via endosomal acidification, forming channels at low pH. This mechanism, involving structural changes and membrane insertion, is key for large clostridial cytotoxin activity.

Area of Science:

  • Microbiology
  • Cell Biology
  • Toxicology

Background:

  • Clostridium difficile toxin B (TcdB) causes antibiotic-associated diarrhea and pseudomembranous colitis.
  • TcdB inactivates Rho GTPases through glucosylation, disrupting cellular functions.
  • Understanding TcdB's cellular uptake and membrane interaction is crucial for developing interventions.

Purpose of the Study:

  • To investigate the mechanism of TcdB uptake into eukaryotic cells.
  • To elucidate the role of endosomal pH in TcdB-mediated cell damage.
  • To determine the structural basis for TcdB's membrane interaction and channel formation.

Main Methods:

  • Utilized Chinese hamster ovary (CHO) cells to study TcdB uptake.
  • Employed bafilomycin A1 to inhibit endosomal acidification and assess its effect on TcdB uptake.
  • Measured (86)Rb(+) release from preloaded cells to quantify membrane permeability changes.
  • Investigated TcdB's effect on artificial lipid bilayer membranes.
  • Used antibodies against TcdB holotoxin and its enzyme domain.

Main Results:

  • Bafilomycin A1 blocked TcdB uptake, indicating dependence on endosomal acidification.
  • Extracellular acidification (pH ≤ 5.2) induced TcdB uptake into the cytosol.
  • Low pH (≤ 5.6) triggered TcdB-induced (86)Rb(+) release, dependent on toxin concentration and pH.
  • Antibodies against holotoxin prevented channel formation, while those against the enzyme domain had no effect.
  • A truncated TcdB fragment (aa 547-2366) also induced pH-dependent (86)Rb(+) efflux.
  • TcdB and Clostridium sordellii lethal toxin formed pH-dependent channels in artificial membranes.

Conclusions:

  • TcdB uptake is dependent on endosomal acidification.
  • Low pH induces structural changes in TcdB, leading to membrane insertion and channel formation.
  • This pH-dependent membrane interaction and channel formation is a conserved mechanism among large clostridial cytotoxins.

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