Human α-defensins inhibit Clostridium difficile toxin B
Human α-defensins inhibit Clostridium difficile toxin B
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DOI:
10.1053/j.gastro.2008.03.008
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发表时间:
2008-06-01
期刊:
影响因子:
29.4
通讯作者:
Aktories, Klaus
中科院分区:
文献类型:
--
作者:
Giesemann, Torsten;Guttenberg, Gregor;Aktories, Klaus
Background & Aims: Clostridium difficile toxins A and B are major virulence factors implicated in pseudomembranous colitis and antibiotic-associated diarrhea. The toxins are glucosyltransferases, which inactivate Rho proteins involved in cellular signaling. Human alpha-defensins as part of the innate immune system inactivate various microbial pathogens as well as specific bacterial exotoxins. Here, we studied the effects of alpha-defensins human neutrophil protein (HNP)-1, HNP-3, and enteric human defensin (HD)-5 on the activity of C difficile toxins A and B. Methods: Inactivation of C difficile toxins by alpha-defensins in vivo was monitored by microscopy, determination of the transepithelial resistance of CaCo-2 cell monolayers, and analysis of the glucosylation of Rac1 in toxin-treated cells. In vitro glucosylation was used to determine K-m and median inhibitory concentration (IC50) values. Formation of defensin-toxin complexes was analyzed by precipitation and turbidity studies. Results: Treatment of cells with human alpha-defensins caused loss of cytotoxicity of toxin B, but not of toxin A. Only alpha-defensins, but not beta-defensin-1 or cathelicidin LL-37, inhibited toxin B-catalyzed in vitro glucosylation of Rho guanosine triphosphatases in a competitive manner, increasing K-m values for uridine 5'-diphosphate-glucose up to 10-fold. The IC50 values for inhibition of toxin B-catalyzed glucosylation by the alpha-defensins were 0.6-1.5 mu mol/L. At high concentrations, defensins (HNP-1 >= 2 mu mol/L) caused high-molecular-mass aggregates, comparable to Bacillus anthracis protective antigen and lethal factor. Conclusions: Our data indicate that toxin B interacts with high affinity with alpha-defensins and suggest that defensins may provide a defense mechanism against some types of clostridial glucosylating cytotoxins.