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Updated: Aug 13, 2026

Bone Marrow-derived Macrophage Production
Published on: November 22, 2013
Macrophage cytotoxicity produced by adenylate cyclase toxin from Bordetella pertussis: more than just making cyclic
Erik L Hewlett1, Gina M Donato, Mary C Gray
1Division of Infectious Diseases and International Health, Department of Medicine, University of Virginia School of Medicine, Box 800419, Charlottesville, 22908, USA. eh2v@virginia.edu
Abstract:
The cytotoxic effect of adenylate cyclase (AC) toxin from Bordetella pertussis on host cells has been attributed to the production of supraphysiologic levels of cyclic AMP by the toxin. We have tested this hypothesis and show that at least two different mechanisms, cAMP accumulation/ATP depletion and oligomerization/pore formation, contribute, perhaps synergistically, to AC toxin-induced cytotoxicity. Wild-type (WT) AC toxin causes cell death associated with an increase in cAMP, a reduction in ATP, activation of caspases 3/7, and increased annexin V and TUNEL staining. In contrast, a non-acylated, enzymatically active, non-haemolytic form of AC toxin is able to increase cAMP, reduce ATP and elicit annexin V staining, but the decrease in ATP and the annexin staining are transient and there is minimal caspase activation, TUNEL staining and cell death. Mutant AC toxins defective in either enzymatic activity or the ability to deliver their enzymatic domain are able to kill J774 cells, without cAMP production, and with minimal caspase activation and TUNEL staining. Comparison of the potencies of WT toxin and those of mutants that only increase cAMP or only create transmembrane pores establishes that at least two mechanisms are contributory and that simply the production of cAMP is not enough to account for the cytotoxicity produced by AC toxin.
Insights
Bordetella pertussis adenylate cyclase (AC) toxin uses multiple mechanisms for host cell damage. Beyond cyclic AMP (cAMP) production, pore formation also contributes significantly to AC toxin cytotoxicity.
Area of Science:
- Microbiology
- Cell Biology
- Toxicology
Background:
- Adenylate cyclase (AC) toxin from Bordetella pertussis is known to cause host cell cytotoxicity.
- The prevailing hypothesis attributed this effect solely to the toxin's ability to produce high levels of cyclic AMP (cAMP).
Purpose of the Study:
- To investigate the mechanisms underlying AC toxin-induced cytotoxicity.
- To determine if cAMP accumulation is the sole contributor to the toxin's cytotoxic effects.
Main Methods:
- Utilized wild-type (WT) AC toxin and various mutant forms with defects in enzymatic activity or pore-forming ability.
- Assessed cell death markers including cAMP levels, ATP depletion, caspase activation, annexin V staining, and TUNEL staining.
- Compared the cytotoxic potencies of WT toxin and mutants affecting specific mechanisms.
Main Results:
- WT AC toxin induced cell death via cAMP accumulation, ATP depletion, caspase activation, and DNA damage.
- A non-haemolytic, enzymatically active mutant showed transient ATP reduction and minimal cell death, despite increased cAMP.
- Mutants lacking enzymatic activity but capable of pore formation also induced cell death, independent of cAMP production.
Conclusions:
- AC toxin-induced cytotoxicity involves at least two distinct mechanisms: cAMP accumulation/ATP depletion and oligomerization/pore formation.
- Elevated cAMP levels alone are insufficient to fully explain the cytotoxic effects of AC toxin.
- These mechanisms may act synergistically to mediate host cell damage by Bordetella pertussis AC toxin.
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