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Updated: Jul 6, 2026

Chronic Salmonella Infection Induced Intestinal Fibrosis
Published on: September 22, 2019
Salmonella enterica serovar Typhimurium modulates P-glycoprotein in the intestinal epithelium
Dario Siccardi1, Karen L Mumy, Daniel M Wall
1Mucosal Immunology Laboratory, Massachusetts General Hospital, Charlestown, MA 02129, USA.
Abstract:
Studies over the last decade have shown that Salmonella enterica serovar Typhimurium (S. typhimurium) is able to preferentially locate to sites of tumor growth and modulate (shrink) the growth of many cancers. Given this unique association between S. typhimurium and cancer cells, the objective of this study was to investigate the capacity of this microorganism to modulate the plasma membrane multidrug resistance (MDR) protein P-glycoprotein (P-gp), an ATP-binding cassette transporter responsible for effluxing many cancer drugs. Using an in vitro model of S. typhimurium infection of polarized human cancer intestinal cell lines, we have found that this enteric pathogen functionally downregulates the efflux capabilities of P-gp. Specifically, we show that S. typhimurium infection of human intestinal cancer cells results in the enhanced intracellular accumulation of a number of P-gp substrates that corresponds to the posttranscriptional downregulation of P-gp expression. Furthermore, cells expressing small interfering RNAs against MDR1, the gene encoding P-gp, were significantly more susceptible to the cytotoxic effects of bacterial infection. This result is consistent with our observation that S. typhimurium was significantly less able to invade cells overexpressing MDR1. Taken together, these results reveal a novel role for P-gp in the maintenance of homeostasis in the gastrointestinal tract in regard to bacterial infection. Thus the regulation of P-gp by S. typhimurium has important implications not only for the development of new cancer therapeutics aimed at reversing drug resistance but also in the understanding of how microbes have evolved diverse strategies to interact with their host.
Insights
Salmonella Typhimurium bacteria can shrink tumors and downregulate P-glycoprotein (P-gp) in cancer cells. This interaction impacts cancer drug resistance and bacterial infection in the gut.
Area of Science:
- Microbiology
- Cancer Biology
- Molecular Biology
Background:
- Salmonella enterica serovar Typhimurium (S. typhimurium) preferentially targets tumor sites and can inhibit cancer growth.
- P-glycoprotein (P-gp) is a key transporter involved in multidrug resistance (MDR) in cancer, effluxing chemotherapeutic drugs.
- Understanding microbial interactions with host cells is crucial for both infectious disease and cancer therapy.
Purpose of the Study:
- To investigate the effect of S. typhimurium infection on P-glycoprotein (P-gp) function and expression in human intestinal cancer cells.
- To determine if S. typhimurium can modulate the drug efflux capabilities mediated by P-gp.
- To explore the role of P-gp in the interaction between S. typhimurium and intestinal cancer cells.
Main Methods:
- In vitro infection model using polarized human intestinal cancer cell lines and S. typhimurium.
- Measurement of intracellular accumulation of P-gp substrates to assess efflux function.
- Analysis of P-gp expression levels post-infection.
- Experimental manipulation of MDR1 gene expression using small interfering RNAs (siRNAs).
Main Results:
- S. typhimurium infection leads to functional downregulation of P-gp efflux activity in cancer cells.
- Bacterial infection results in increased intracellular accumulation of P-gp substrates.
- Posttranscriptional downregulation of P-gp expression was observed following S. typhimurium infection.
- Cancer cells with reduced P-gp expression (MDR1 knockdown) were more susceptible to S. typhimurium infection.
- Conversely, S. typhimurium invasion was reduced in cells overexpressing MDR1.
Conclusions:
- S. typhimurium actively downregulates P-gp function and expression in intestinal cancer cells.
- This modulation by S. typhimurium has significant implications for reversing cancer drug resistance.
- P-gp plays a novel role in maintaining gastrointestinal homeostasis during bacterial infection.
- The findings suggest potential therapeutic strategies targeting P-gp for cancer treatment and offer insights into host-microbe interactions.
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