Outer membrane protein A of Escherichia coli K1 selectively enhances the expression of intercellular adhesion molecule-1 in brain microvascular endothelial cells
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Updated: Jul 16, 2026

Amikacin Protection Assay for Quantification and Visualization of Escherichia coli Cell Invasion
Published on: July 3, 2026
Suresh K Selvaraj1, Parameswaran Periandythevar, Nemani V Prasadarao
1Division of Infectious Diseases, The Saban Research Institute, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA.
Abstract:
Escherichia coli K1 meningitis is a serious central nervous system disease with unchanged mortality and morbidity rates for last few decades. Intercellular adhesion molecule 1 (ICAM-1) is a cell adhesion molecule involved in leukocyte trafficking toward inflammatory stimuli at the vascular endothelium; however, the effect of E. coli invasion of endothelial cells on the expression of ICAM-1 is not known. We demonstrate here that E. coli K1 invasion of human brain microvascular endothelial cells (HBMEC) selectively up-regulates the expression of ICAM-1, which occurs only in HBMEC invaded by the bacteria. The interaction of outer membrane protein A (OmpA) of E. coli with its receptor, Ecgp, on HBMEC was critical for the up-regulation of ICAM-1 and was depend on PKC-alpha and PI3-kinase signaling. Of note, the E. coli-induced up-regulation of ICAM-1 was not due to the cytokines secreted by HBMEC upon bacterial infection. Activation of NF-kappaB was required for E. coli mediated expression of ICAM-1, which was significantly inhibited by over-expressing the dominant negative forms of PKC-alpha and p85 subunit of PI3-kinase. The increased expression of ICAM-1 also enhanced the binding of THP-1 cells to HBMEC. Taken together, these data suggest that localized increase in ICAM-1 expression in HBMEC invaded by E. coli requires a novel interaction between OmpA and its receptor, Ecgp.
Insights
Escherichia coli K1 meningitis involves increased intercellular adhesion molecule 1 (ICAM-1) in brain endothelial cells. This occurs via bacterial outer membrane protein A (OmpA) interaction, impacting leukocyte adhesion.
Area of Science:
- Neuroscience
- Microbiology
- Immunology
Background:
- Escherichia coli K1 meningitis remains a severe central nervous system disease with persistent high mortality and morbidity.
- The role of E. coli invasion in endothelial cells concerning Intercellular Adhesion Molecule 1 (ICAM-1) expression is not well understood.
- ICAM-1 is crucial for leukocyte trafficking to inflammatory sites in the vascular endothelium.
Purpose of the Study:
- To investigate the effect of E. coli K1 invasion on ICAM-1 expression in human brain microvascular endothelial cells (HBMEC).
- To elucidate the molecular mechanisms underlying E. coli-induced ICAM-1 up-regulation.
- To determine the functional consequence of increased ICAM-1 on immune cell binding.
Main Methods:
- Invasion assays using E. coli K1 and HBMEC.
- Quantitative analysis of ICAM-1 expression.
- Investigation of signaling pathways including PKC-alpha, PI3-kinase, and NF-kappaB.
- Bacterial outer membrane protein A (OmpA) and its receptor Ecgp interaction studies.
- THP-1 cell adhesion assays.
Main Results:
- E. coli K1 invasion selectively up-regulates ICAM-1 expression in HBMEC.
- The interaction between E. coli OmpA and its receptor Ecgp is critical for ICAM-1 up-regulation.
- PKC-alpha, PI3-kinase, and NF-kappaB signaling pathways are involved in this process.
- Increased ICAM-1 expression enhances the binding of THP-1 cells to HBMEC.
Conclusions:
- E. coli K1 invasion triggers a localized increase in ICAM-1 expression in HBMEC.
- This up-regulation is mediated by a novel interaction between OmpA and Ecgp, dependent on specific signaling pathways.
- The findings provide insights into the pathogenesis of E. coli K1 meningitis and potential therapeutic targets.
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