L14 - EPEC & enteric disease Flashcards
(36 cards)
What is EPEC?
Enteropathogenic E. coli (EPEC)
Major cause of watery diarrhoea in infants (mostly <6-month-old)
Its primarily now a problem for developing countries – main issue due to hygiene
What is EPEC a member of?
These bacteria are a member of the attachment & effacing family of pathogens – they cause changes on the cells, the attaching & facement of the absorbance to microvilli
How does EPEC infect host cells?
- The bacteria target the absorbent epithelia of the small intestine
- Most bacteria cannot get through this – however EPEC can sink into the brush border of microvilli
- Make contact with the host plasma membrane
- This triggers signaling responses in the host cell that lead to the formation of pedestal-like structures
- Also associated with the elongation of the microvilli and the loss of microvilli which is thought to allow more bacteria to be recruited to the site of infection
What is virulence of EPEC mainly dependent on?
The key determinant is a secretory system – the ability to be able to transfer proteins outside or into host cells is important in the disease process
They do this by a T3SS (type 3 Secretion system) – which is a molecular needle syringe like structure which connects the cytoplasm of the host and bacteria
A novelty of the EPEC is that the needle is extended by one of the secretory proteins (EspA) polymerizing to make a long extension
Where is T3SS encoded?
On the Locus of Enterocyte Effacement (LEE) region
LEE is a pathogenicity island
Structure of T3SS
LEE has about 40 proteins - half of them form the T3SS
Some of the proteins are secreted – secreted translocator proteins – they form the extension of the T3SS – allows the system to interact with the host plasma membrane – inserts 2 proteins into the host plasma membrane to generate a pore – allows effector proteins to be delivered into the host cell – these drive the disease process
Known that the protein in the plasma membrane (EspB) also has effector functions
There are other proteins involved in the system – regulators & chaperones
Intimin is an outer membrane protein that is critical for disease
How did EPEC become pathogenic?
EPEC pathogenesis driven by acquisition of new DNA
How can you treat EPEC diseases?
Can treat EPEC diseases quite easily
BUT
Rapid acquisition of antibiotic resistance by the transferring of plasmids
What are Non-LEE-encoded (Nle) effectors?
While some secreted effector proteins are encoded on a pathogenicity island known as LEE, several effector molecules are encoded outside the LEE (Nle)
Has been found that a subset of these have other effector molecules that are delivered by the T3SS
They have 17 Nle effector molecules
Bacteria can deliver 24 effector molecules into the host cell
Gives it a huge capacity to alter host cellular processes
In vitro Model of EPEC’s Target Cell: Absorptive epithelial (Enterocytes)
Important that studies are done of the cell types that the bacteria actually affect – need the key physiology of the target cell
Caco2 model has an insert which has a placid membrane with little holes in – not big enough for cells to fall out but it allows them to feed from both sides
How do you get Caco 2 model cells?
Can take these cells from a cancer – been found you can grow them for 2/3 weeks and they spontaneously differentiate into cells that morphologically & physiologically mimics EPECs in vivo target
How does the Caco 2 model work?
- Can add the bacteria to the top compartment (apical chamber) – equivalent to the lumen of the gastrointestinal tract & the bottom is equivalent to the blood system
- Can scan the surface of the cells – can see bacteria bound to the membrane
- Can see the elongation of the microvilli
- Areas where there’s no microvilli as its been removed (faced)
- In later timepoints there is lots of bacteria colonies & no microvilli
How can you use a voltmeter in the Caco 2 model?
Can also use a voltmeter to look at the ability of current to travel to one compartment to the next – reflects the tightness of the cells
- If the cells are tight together the current is very slow
- If they’re disrupted the current moves
- When you effect EPEC you get rapid loss of electrical resistance
- Bacteria can disrupt these tight junctions
Diarrhoeal-associated alteration of enterocytes
LEE-encoded effector activity linked to diarrhoeal-associated alterations
Can be done by 3 mechanisms:
• Alter activity of transporters in the microvilli
• Remove absorbed microvilli
• Disrupt tight junctions between cells
LEE-encoded effector activity linked to diarrhoeal-associated alterations
Mechanism:
Alter activity of transporters in the microvilli
Cause them to export more ions or inhibit their ability to take up ions – to do with water balance
Bacteria alter the transporter in the apical membrane to explain the rapid onset of diarrhea
A/E lesion formation is linked to loss of major water transporter from absorptive microvilli
LEE-encoded effector activity linked to diarrhoeal-associated alterations
Mechanism:
Remove absorbed microvilli
This reduces SA of the GI tract & remove the transporters – promotes diarrhoea & malnutrition
LEE-encoded effector activity linked to diarrhoeal-associated alterations
Mechanism:
Disrupt tight junctions between cells
Allows the unregulated movement of ions & antigens between the cells – if they can move in an unregulated manner then water can follow it and promote diarrhoeal disease
What does EPEC disease depend on?
Intimin & Tir (transmembrane intimin receptor) are critical for the disease process
Bacteria understand the host physiology & have exploited it by stealing concepts – bacteria delivers its own receptor
How have bacteria stolen the receptor-ligand concept from Intimin-Tir association?
The Tir effector molecules expressed in the bacterial cytoplasm & transferred via the T3SS into the host cytoplasm where it recognises the host kinases which modify specific residues – associated with Tir being inserted into the host plasma membrane in this hairpin like structure
The middle bit is a binding site for the surface protein intimin – once inserted it is recognised by host tyrosine kinases which phosphorylate specific tyrosine residues
Following interaction, it causes clustering of the Tir receptor leading to phosphorylation of the tyrosine’s causing a signalling cascade – recruits host protein called Nik (adaptor molecule) whose function it to recruit N-WASP which activates the actin nucleating machinery called Arp2/3 which leads to these pedestal-like structures underneath the bacteria
This demonstrates how the bacteria understands the host cell physiology
• Exploit host kinases to trigger its signalling cascades to promotes its life cycle
How is EPEC disease dependent on Tir-Intimin (receptor-ligand) interaction
A lot of Tirs ability to alter host cellular processes depends on it binding intimin – triggers a signaling cascade
Bacteria from outside the cell, can keep control of its effector molecules through the Tir-Intimin interaction
They allow the bacteria to sink through the absorbed microvilli – if they can’t do this they can’t deliver their effector molecules in the cytoplasm
What is microvilli size dependent on?
Threadmilling
Where actin is added & polymerized at the tip, the rate of adding vs the rate of natural turnover at the other end is threadmilling – can be altered by promoting removal or addition of actin
What proteins do many pathogens target?
Small RhoGTPases are a key target of many pathogens as they play a central role in controlling different signaling cascades that the bacteria manipulate
What is MAP?
Map is a Cdc42 specific GEF – molecular ON/OFF switches
Cdc42 is a member of the small RhoGTPase family of molecular on-off switches of signaling cascades
When receptor signaling occurs, triggers signaling cascade that activates small GTPase via GEF and then proteins like GAF switch them off again
What is EspF?
EspF is one of many effector proteins exclusive to the attaching and effacing pathogen family that includes enteropathogenic (EPEC)