Proteolysis of Pseudomonas exotoxin A within hepatic endosomes by cathepsins B and D produces fragments displaying in vitro ADP-ribosylating and apoptotic effects. They are commonly encountered in secondary infection of wounds, burns and chronic ulcers of skin . It gains energy by transferring electrons from glucose, a reduced substrate, to oxygen, the final electron acceptor. Dipth, diphthamide. Mol. 1982, 145: 688-98. PubMed The bacteria now act as a community to perform tasks, which would be impossible for individual cells, e.g., cooperative activation of bacterial gene expression, biofilm formation, influence on the behavior of host cells, or the adequate production of virulence factors (Nguyen and Singh, 2006; Holm and Vikstrom, 2014). Cell. Bacteremia with pseudomonas can also cause very . Immun. . 2023 Feb 20. doi: 10.1007/s10529-023-03360-4. Cornelis, P., and Dingemans, J. PMC These bacilli are found everywhere and they remain in environment for several years due to their ability in producing spores. Natl. 2023 Feb 13;14:1135280. doi: 10.3389/fimmu.2023.1135280. doi: 10.1073/pnas.81.9.2645, Hazes, B., and Read, R. J. Terms and Conditions, P. aeruginosa is an obligate respirer, using aerobic respiration (with oxygen) as its optimal metabolism although can also respire anaerobically . The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Each injection contained 100 g of semi-purified toxoid in 2 mL of PBS. (1997). If exotoxin A is a true virulence factor of P. aeruginosa, then anti- It has ADP-ribosylation activity and decisively affects the protein synthesis of the host cells. This study was performed to determine the immunogenicity of a toxoid produced from exotoxin A of P. aeruginosa in a mouse burn model. This article is published under license to BioMed Central Ltd. [11]. The mortality rate is higher than bacteremias caused by other gram-negative opportunistic pathogens. During the follow-up period, 3 mice (6.3%) in the experimental group died. 2004, 30: 241-243. In cell-based assays, we could show that the protein expression, maturation, and activation of ADAM17 is upregulated upon infection of lung epithelial cells with Pseudomonas aeruginosa and Exotoxin A (ExoA), without any impact of infection by Streptococcus pneumoniae. doi: 10.1006/jmbi.2001.5195. doi: 10.1371/journal.pone.0007740, Proud, C. G. (1994). Cite this article. 50 mice were immunized with the toxoid, burned with hot metal and infected with 1 108 CFU of toxigenic strains of P. aeruginosa (experimental group); 25 non-immunized mice were also burned and infected (control group). Trends Cell Biol. No report of Pseudomonas infection is found in people who take Sarisol no. After cleavage and transport into late endosomes, the 37 kDa PE fragment exploits a Rab9-regulated pathway to reach the trans Golgi network (TGN). FIGURE 2. Identify the importance of the LAL assay Wash Water containing pseudomonas was sterilized and used to wash cardiac catheters. Genes for carbon metabolism and the ToxA virulence factor in Pseudomonas aeruginosa are regulated through molecular interactions of PtxR and PtxS. Opin. CAS The survival rate in both groups was compared. Cancers (Basel). 314, 823837. 1984 Sep;120(3):271-9. doi: 10.1002/jcp.1041200303. Drugs 67, 351368. Immunocompromised individuals, burn victims, cystic fibrosis patients, and cancer patients . doi: 10.1111/2049-632X.12033, Gerard-Vincent, M., Robert, V., Ball, G., Bleves, S., Michel, G. P., Lazdunski, A., et al. J. Clin. Would you like email updates of new search results? doi: 10.1007/s00418-013-1130-9, Chang, J. H., and Kwon, H. Y. 5:309. doi: 10.3389/fpls.2014.00309, Hunt, T. A., Peng, W. T., Loubens, I., and Storey, D. G. (2002). Exotoxin A (P-ExA) is considered to be a major virulence factor of Pseudomonas aeruginosa . Bacterial infection is a major complication after thermal injury, especially in developing countries [1618]. Eur Resp J 1994; 7 (10): 1754-8. [5] found that immunization with a combination of alkaline protease and toxoid of exotoxin A decreased mortality. Acad. Pollack M: Principles and practice of infectious diseases. A T3 SS effector toxin independent role for the T3SS, in particular the T 3SS translocator protein PopB, in the pathogenicity of P. aeruginosa during acute lung infection is demonstrated. Akiyama S, Gottesman MM, Hanover JA, Fitzgerald DJ, Willingham MC, Pastan I. J Cell Physiol. Acad. This is one reason, why P. aeruginosa is ubiquitously present in soil, water or sewage as well as in human, animal or plant hosts and why it is widespread around the world (Wiehlmann et al., 2007; Pirnay et al., 2009). doi: 10.1016/S1074-7613(00)00013-3. After 24 h, 108 colony forming units (CFU) of toxigenic strains of P. aeruginosa (PA 103) were inoculated subcutaneously into the burned area. Infect Immun. Detection of virulence factors of Pseudomonas aeruginosa in different animals. Microbiol. 50 mice were assigned to the experimental group. The protective efficacy of toxoid vaccination was therefore 93.8%. Perfiles de resistencia a antibiticos y metales pesados en Pseudomonas aeruginosa potencialmente patgenas aisladas de agua de uso agrcola. Pseudomonas Exotoxin A is secreted into the extracellular medium via the general secretory pathway, a two-step mechanism, which is highly conserved in Gram-negative bacteria (Voulhoux et al., 2000; Gerard-Vincent et al., 2002). A dynamic and intricate regulatory network determines Pseudomonas aeruginosa virulence. Karimi-estahbanati H, Pourkashanif P, Ghanaatpishe H: Frequency of Pseudomonas aeruginosa serotypes in burn wound infections and their resistance to antibiotics. One important mechanism P. aeruginosa developed, is the quorum sensing (QS) for intercellular communication. This belief is founded on the demonstrable toxicity of purified preparations, and on detection of the toxin in the tissues of burned animals infected with Ps. doi: 10.3390/toxins2071612. It forms a proteinaceous channel that is inserted into the host eukaryotic cell membrane for injection . The disulfide bond is then reduced, presumably by protein-disulfide-isomerases, and the 37 kDa fragment is detached (McKee and FitzGerald, 1999). Iglewski, B. H., Liu, P. V., and Kabat, D. (1977). Generally, PE belongs to the two-component AB toxin family, composed of an A domain with enzymatic activity and a B domain as cell binding subunit (Odumosu et al., 2010). Infect. Saudi Med J. 2023 Jan 27:2023.01.26.525796. doi: 10.1101/2023.01.26.525796. Targets 16, 859873. Department of Plastic Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran, Department of Medical Microbiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran, Gastroenterohepatology Research Center, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran, Professor Alborzi Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran, Yasuj University of Medical Sciences, Yasuj, Iran, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran, You can also search for this author in 1999,4 1 nosocomial infection, anytime after POD3 Diagnosis: UA + nitrite (from bacteria), + leukocyte esterase (from WBC), > 10 WBC/HPF, bacteria; culture >100,000 organisms Organism: Escherichia coli, Klebsiella, Pseudomonas > Enterococcus, S. aureus Treatment: appropriate antibiotics; if candida, remove . MA general surgeon, cooperated in inducing burns. On the path to uncover the bacterial type II secretion system. Siegall CB, Epstein S, Speir E, Hla T, Forough R, Maciag T, Fitzgerald DJ, Pastan I. FASEB J. Gray, G. L., Smith, D. H., Baldridge, J. S., Harkins, R. N., Vasil, M. L., Chen, E. Y., et al. (2000). Pseudomonas syringae pv. Urinary Tract Infection No. P. aeruginosa is a frequently isolated bacterium that causes septicemia and death [17]. FEBS J. Insights into diphthamide, key diphtheria toxin effector. The ADP-ribose group is subsequently transferred to the N3 atom of the diphthamide imidazole ring, which results in the ADP-ribosylated eEF-2 protein (Armstrong et al., 2002; Jorgensen et al., 2005). Peptide-chain elongation in eukaryotes. Then a Rab6-controlled lipid-dependent sorting pathway is used for trafficking to the ER (White et al., 1999; Smith et al., 2006). With regard to its function it is specified as NAD+-diphthamide-ADP-ribosyltransferase (EC 2.4.2.36) (Domenighini and Rappuoli, 1996). aeruginosa. Moreover, genome sequencing of bacterial pathogens and molecular analyses of intoxication pathways have shown how bacteria evolved via mutational changes, a mechanism, which is known as pathoadaptation. Each injection contained 200 g of semi-purified toxoid in 4 mL of PBS. Infect Immun. Chem. In eukaryotic cells, when exotoxin A turns into an activated enzyme, transfer of an adenosine diphosphate ribose moiety from NAD led to inactivation of elongation factor 2 and inhibition of protein synthesis [7]. 5 Studies have already demonstrated the ability of streptococcal exotoxin 15 and clostridial -toxin 3,4 to stimulate neutrophil-endothelial interaction resulting in the . Open Access There is increasing interest in bacterial virulence factors as a basis for effective vaccines and immunotherapies. Sci. Weidle, U. H., Tiefenthaler, G., Schiller, C., Weiss, E. H., Georges, G., and Brinkmann, U. Opportunistic infections in lung disease: Pseudomonas infections in cystic fibrosis. PubMed Afterward it facilicates the cleavage of the glycosidic bond (C-N) between the nicotinamide and N-ribose of NAD+. The KDEL retrieval system is exploited by Pseudomonas exotoxin A, but not by Shiga-like toxin-1, during retrograde transport from the Golgi complex to the endoplasmic reticulum. 1996, 44: 145-153. Toxins (Basel) 5, 958968. doi: 10.1073/pnas.90.16.7774, Voulhoux, R., Taupiac, M. P., Czjzek, M., Beaumelle, B., and Filloux, A. doi: 10.1080/1475636021000010914, Balasubramanian, D., Schneper, L., Kumari, H., and Mathee, K. (2013). An early step in Pseudomonas exotoxin action is removal of the terminal lysine residue, which allows binding to the KDEL receptor. Siegall, C. B., Chaudhary, V. K., FitzGerald, D. J., and Pastan, I. eEF-2 belongs to the GTP-binding translation elongation factor family and promotes the GTP-dependent translocation of mRNA from the ribosomal A-site to the P-site (Proud, 1994). 2023 Feb 27;15(5):1486. doi: 10.3390/cancers15051486. Kohanteb J, Ardehali S: Cross reaction of sera forms patients with various infectious diseases with Leishmania infantum. Design and construction of scFv-PE35KDEL as a novel immunotoxin against human epidermal growth factor receptor 2 for cancer therapy. Davood Mehrabani. Histochem. JK microbiologist, immunological methods. Infect. Bookshelf Moreover, PE represents a remarkable example for pathoadaptive evolution, how bacterial molecules have been structurally and functionally optimized under evolutionary pressure to effectively impair and kill their host cells. 1976, 14: 942-947. -, Beattie B. K., Prentice G. A., Merrill A. R. (1996). GPR107, a G-protein-coupled receptor essential for intoxication by Pseudomonas aeruginosa exotoxin A, localizes to the Golgi and is cleaved by furin. Domain II (aa 253364) with six consecutive -helices, enables the toxin to translocate across cell membranes. Pseudomonas Exotoxin A (PE) is the most toxic virulence factor of the pathogenic bacterium Pseudomonas aeruginosa. The quantity of P. aeruginosa in the spleens and livers was measured as the number of CFU per 1 g of homogenized tissue. The toxin is, however, immunogenic in normal hosts. The antibody titer ranged from 1:16 to 1:512 in the immunized mice using ELISA (Table 1). . doi: 10.1038/ng.3148, Maschmeyer, G., and Braveny, I. Immunity 13, 117127. Each rabbit received weekly subcutaneous injections for 6 weeks. Burns. Nature 436, 979984. Curr. Preclinical and clinical trials with PE-based immunotoxins were reviewed elsewhere (Wolf and Elsasser-Beile, 2009; Weidle et al., 2014). Genet. 2-ketogluconate is able to bind to the transcriptional repressor protein PtxS. PLoS ONE 9:e96609. The study was approved by the Ethics Committee of the Shiraz University of Medical Sciences. Pseudomonas Exotoxin A developed specific aa motifs to be effectively processed by components of the host cell. The swabs were cultured on blood and Muller-Hinton agar plates and incubated at 37C under ambient conditions for 24 h. P. aeruginosa was diagnosed by colony morphology, a zone of hemolysis and oxidase, methyl red, Voges Proskauer, citrate and TSI tests [15]. 267, 2539625401. 10.1007/s00418-013-1130-9 Changes in CLDN4 expression have been associated with epigenetic factors (such as hypomethylation of promoter DNA), inflammation associated with infection and cytokines, and growth factor signaling. doi: 10.1083/jcb.147.4.743, Wiehlmann, L., Wagner, G., Cramer, N., Siebert, B., Gudowius, P., Morales, G., et al. volume9, Articlenumber:23 (2009) Biochemistry 36, 1105111054. Traffic 7, 379393. In these cells, a rapid degradation of Mcl-1 was observed, which unleashed Bak to activate apoptosis (Du et al., 2010). Kounnas, M. Z., Morris, R. E., Thompson, M. R., FitzGerald, D. J., Strickland, D. K., and Saelinger, C. B. 2002, 78: 746-751. 2, 107117. Different studies established a relation between PE expression and iron metabolism. Keywords: Microbiology 148, 31833193. tabaci 6605 (Pta6605) is a causal agent of wildfire disease in host tobacco plants. Much relevant knowledge was obtained from studies with immunotoxins, in which the enzymatic active part of the toxin, coupled to antibodies, antibody fragments or ligands, was used for targeted therapeutic approaches against different cancers. 2005, 32: 343-347. This microorganism is one of the most frequent and severe causes of hospital-acquired infections, particularly affecting immunocompromised (especially neutropenic) and intensive care unit (ICU) patients. Manafi, A., Kohanteb, J., Mehrabani, D. et al. PE is expressed as a protein with a length of 638 amino acids (aa) and can be divided into several structural and functional domains (Wedekind et al., 2001; Figure 1A). infection. doi: 10.1021/bi961985t, Cancino, J., Jung, J. E., and Luini, A. Blood samples and the tissue samples of spleens and livers of dead mice were also examined for presence of P. aeruginosa. doi: 10.1093/nar/gku496, Domenighini, M., and Rappuoli, R. (1996). (2015). All non-immunized mice developed septicemia and died within 3 weeks of inoculation with P. aeruginosa. Since there are differences of PE trafficking in different cell lines, it is presumed that the choice between the pathways seems to be dependent from the expression of host factors that are present in the cells. Of the many different types of Pseudomonas, the one that most often causes infections in humans is called Pseudomonas aeruginosa, which can cause infections in the blood, lungs (pneumonia), or other parts of the body after surgery. Each mouse received weekly subcutaneous injections for 6 weeks. The phase IV clinical study is created by eHealthMe based on reports from the FDA, and is updated regularly. 10.1093/nar/gks1039 Production of a precipitation line between the two wells indicated the presence of antitoxin or toxin A in the sera. This video shows you How to Pronounce Pseudomonas aeruginosa (CORRECTLY), pronunciation guide.Hear more hard-to-say medical terms pronounced: https://www.you. Following a single injection of 80 ng of exotoxin A, necrosis, and cellular swelling were detected in liver within 48 h [7]. Pseudomonas exotoxin A (PE) is the most toxic virulence factor of this . Article This leads to a formation of a C-terminal motif from REDLK (aa 609613) to REDL (aa 609612), which enables the toxin to bind to KDEL receptors at the Golgi apparatus during subsequent intracellular trafficking (Hessler and Kreitman, 1997). The efficient uptake of iron is one important factor for P. aeruginosa allowing the colonization of the host. Moreover, PE represents a remarkable example for pathoadaptive evolution, how bacterial molecules have been structurally and functionally optimized under evolutionary pressure to effectively impair and . Hemorrhage in the lungs and necrosis in the kidneys were also reported [7, 8]. Samples were obtained from the infected areas using sterile swabs and saline and checked for the presence of P. aeruginosa at different time intervals. Chem. doi: 10.3390/toxins5050958, PubMed Abstract | CrossRef Full Text | Google Scholar, Armstrong, S., Li, J. H., Zhang, J., and Merrill, A. R. (2002). The opportunistic pathogen Pseudomonas aeruginosa (Pa) causes severe nosocomial infections, especially in immunocompromised individuals and the elderly. 10.3390/toxins5050958 Marvig, R. L., Sommer, L. M., Molin, S., and Johansen, H. K. (2015). Natl. Neither P. aeruginosa nor exotoxin A was not detected in the liver, spleen or sera of the surviving mice. EXA was detected in the pla Moreover, the molecule can be cleaved by furin, presumably to facilitate subsequent trafficking. Knowledge about its intoxication pathways should not only be used for the construction of PE-based immunotoxins for targeted therapy (Wolf and Elsasser-Beile, 2009; Weidle et al., 2014), but also for the development of strategies to alleviate P. aeruginosa infections (Jiang et al., 2014; Farajnia et al., 2015). However, healthy people do not normally develop pseudomonas infection. One of the most important features of the bacterium is its resistance to various antibacterial agents [2, 3], and even newly developed antibiotics have failed to reduce the mortality rate associated with this organism [4]. A prime example is GPR107, an orphan G-protein coupled receptor, which, like the KDEL receptor, is located to the TGN and facilitates the retrograde transport of PE (Tafesse et al., 2014). CD91 bound PE molecules can be internalized via clathrin-coated pits. Bacillus cereus causes food poisoning and sometimes eye infections and other localized . Exotoxin A was precipitated by the addition of 0.25 M of NaCl and 70% saturated ammonium sulfate. 140, 395405. Biol. FIGURE 1. Summary The effects of exotoxin A (EXA) from Pseudomonas aeruginosa on polymorphonuclear leucocytes (PMNLs) were studied in a mouse model and in vitro. Accumulating evidence suggests that several AB-toxins subvert the endoplasmic reticulum-associated protein degradation pathway to enter target cells. Federal government websites often end in .gov or .mil. The N-terminus is able to specifically bind to the abundantly expressed CD91 antigen, which enables PE to reach many different host cells (Kounnas et al., 1992). doi: 10.3109/10409238.2013.831023, Tafesse, F. G., Guimaraes, C. P., Maruyama, T., Carette, J. E., Lory, S., Brummelkamp, T. R., et al. (A) Schematic representation of the structural and functional domains of Pseudomonas Exotoxin A (PE). Characterization of competitive inhibitors for the transferase activity of Pseudomonas aeruginosa exotoxin A. J. Prevalence in the community is less than in the hospital, and cases of severe community-acquired infection are rare. Bethesda, MD 20894, Web Policies 379, 563572. The KDEL-receptor cycles between the TGN and the ER via Golgi cisternae and is originally responsible for the recycling of cellular proteins bearing KDEL or KDEL-like sequences (Cancino et al., 2013). Google Scholar. Pseudomonas is a clinically significant and opportunistic pathogen, often causing nosocomial infections. Scand J Infect Bis Suppl. Cell-mediated cleavage of Pseudomonas exotoxin between Arg279 and Gly280 generates the enzymatically active fragment which translocates to the cytosol. Sera were pooled and the presence of antitoxin against P. aeruginosa confirmed by CIEP. Diphtheria toxin is an exotoxin secreted by mainly by Corynebacterium diphtheriae but also by Corynebacterium ulcerans and Corynebacterium pseudotuberculosis.the pathogenic bacterium that causes diphtheria.The toxin gene is encoded by a prophage [annotation 1] called corynephage . Infection of healthy individuals by P. aeruginosa is very rare, but as an opportunistic bacterium it often colonizes immunocompromised patients with cystic fibrosis, burns, or AIDS (Gellatly and Hancock, 2013). 2002, 28: 340-48. Regulation of Golgi signaling and trafficking by the KDEL receptor. doi: 10.1007/BF00986958, Rowe, S. M., Miller, S., and Sorscher, E. J. As a facultative aerobic organism, P. aeruginosa prefers respiration as metabolism. 2023 BioMed Central Ltd unless otherwise stated. Burns. (2004). 19, 915925. X-ray structure analyses showed evidence that PE mimics the normal interaction between eEF-2 and the eukaryotic 80S ribosome, because a striking similarity was observed between the orientation of PE-bound -TAD (a non-hydrolysable NAD+ analog) and the phosphate backbone of two nucleotides in a conformational switch of 18S rRNA, with respect to the interaction with eEF-2. Cell Biol. doi: 10.1021/bi971447w, Holm, A., and Vikstrom, E. (2014). U.S.A. 93, 69026906. Role of Exotoxin and Antibodies in Human Infection Exotoxin A can be demonstrated in the tissues of infected animals, but circulating toxin in serum or plasma has not been convincingly demonstrated in humans or animals [22]. Infections with Pseudomonas aeruginosa have been a long-standing challenge for clinical therapy because of complex pathogenesis and resistance to antibiotics, thus attaching importance to explore effective vaccines for prevention and treatment. (1984). 44, 16511665. Passive immunization was not evaluated in this study: We chose to study active immunization because this could play a role in high-risk occupations such as fire fighting and baking. The first fragment (aa 1279) of about 28 kDa in weight consists of domain I and parts of domain II. (2014). On the host cell surface, PE specifically binds via domain Ia to CD91, which is also known as alpha2-macroglobulin receptor/low-density lipoprotein receptor-related protein (2MR/LRP; Kounnas et al., 1992). U.S.A. 81, 26452649. PLoS ONE 4:e7740. 15, 138144. Pseudomonas exotoxin A-mediated apoptosis is Bak dependent and preceded by the degradation of Mcl-1. Exotoxin A was partially purified according to the method described by Pollack et al. Pseudomonas exotoxin A (PE) is the most toxic virulence factor of this bacterium. doi: 10.1016/j.intimp.2007.05.001. Cancer Genomics Proteomics 11, 2538. A better understanding of the bacterial response to the host immune system is essential to develop better antimicrobials against . 22-121 kBp Lnge. 75 white out-bred mice were provided from the Laboratory Animal Research Center of the Shiraz University of Medical Sciences, housed in an ambient temperature of 21 2C and relative humidity of 6570%, and given a balanced diet with free access to food and water. Interestingly, the unfolding step in the EE for furin cleavage is also discussed to lead to a masquerade of the PE molecule as an unfolded/misfolded protein to be successfully transported to the cytosol (Pelham et al., 1992). Histochem. Int. Over the past four years we have made a variety of immunotoxins (ITs) by coupling Pseudomonas exotoxin (PE), to monoclonal antibodies (MoAbs). (2010). Sci. doi: 10.1128/JB.182.14.4051-4058.2000, Wedekind, J. E., Trame, C. B., Dorywalska, M., Koehl, P., Raschke, T. M., McKee, M., et al. Philos. 2, 183185. Therefore, the best approach to deal with biofilm infections is to . BMC Microbiol 9, 23 (2009). Gholami A, Minai-Tehrani D, Mahdizadeh SJ, Saenz-Mendez P, Eriksson LA. doi: 10.1371/journal.pone.0039390, Daddaoua, A., Molina-Santiago, C., de la Torre, J., Krell, T., and Ramos, J. L. (2014). A series of dilutions, up to ten-fold, of 50 g/mL of semi-purified exotoxin A were prepared in PBS (pH 7.2).
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