Clostridium perfringens Epsilon Toxin Compromises the Blood-Brain Barrier in a Humanized Zebrafish Model

Autor: Timothy Vartanian, Monika Bokori-Brown, Samantha V. Shetty, Drew Adler, Yinghua Ma, Richard W. Titball, Jennifer R. Linden
Rok vydání: 2019
Předmět:
Zdroj: iScience
iScience, Vol 15, Iss, Pp 39-54 (2019)
ISSN: 2589-0042
DOI: 10.1016/j.isci.2019.04.016
Popis: Summary Clostridium perfringens epsilon toxin (ETX) is hypothesized to mediate blood-brain barrier (BBB) permeability by binding to the myelin and lymphocyte protein (MAL) on the luminal surface of endothelial cells (ECs). However, the kinetics of this interaction and a general understanding of ETX's behavior in a live organism have yet to be appreciated. Here we investigate ETX binding and BBB breakdown in living Danio rerio (zebrafish). Wild-type zebrafish ECs do not bind ETX. When zebrafish ECs are engineered to express human MAL (hMAL), proETX binding occurs in a time-dependent manner. Injection of activated toxin in hMAL zebrafish initiates BBB leakage, hMAL downregulation, blood vessel stenosis, perivascular edema, and blood stasis. We propose a kinetic model of MAL-dependent ETX binding and neurovascular pathology. By generating a humanized zebrafish BBB model, this study contributes to our understanding of ETX-induced BBB permeability and strengthens the proposal that MAL is the ETX receptor.
Graphical Abstract
Highlights • ProETX binds specifically to hMAL in live humanized zebrafish • hMAL expression in zebrafish confers susceptibility to ETX-mediated BBB breakdown • Live imaging reveals ETX-mediated edema, hMAL downregulation, stenosis, and stasis • Antibody neutralization abrogates ETX-mediated vascular pathology
Pathogenic Organism; Vascular Remodeling; Molecular Mechanism of Behavior; Model Organism
Databáze: OpenAIRE