Variyam E P
Department of Medicine, Department of Veterans Affairs Medical Center, Cleveland, Ohio 44106, USA.
Gut. 1996 Oct;39(4):521-7. doi: 10.1136/gut.39.4.521.
Factors that prevent colonic mucosal invasion by pathogenic Entamoeba histolytica are not understood. A key initial step in pathogenesis of injury induced by amoeba is adherence to target cells mediated by a surface glycoprotein lectin on E histolytica. Mucin degrading bacteria normally present in the colon lumen produce glycosidases that degrade soluble or cell surface glycoconjugates.
To determine whether glycosidases produced by mucin degrading bacteria, alone or in combination with proteases present in colon lumen, can decrease E histolytica adherence to target epithelial cells by degrading E histolytica adherence lectin.
The effects of exposure of E histolytica trophozoites strains HM1:IMSS and 200:NIH to faecal culture supernatant fluids, culture supernatant preparations of mucin degrading bacteria, and luminal proteases on their adherence to Chinese hamster ovary (CHO) cells were determined. The amount of surface adherence lectin on E histolytica trophozoites before and after treatment with glycosidases and proteases was determined by immunofluorescence. The effect of glycosidases and proteases on purified E histolytica lectin was determined by gel electrophoresis.
Incubation of E histolytica with culture supernatant preparations or proteases alone did not modify their CHO cell adherence. However, 24 hour incubation of trophozoites with culture supernatant preparations together with pancreatic proteases decreased CHO cell adherence of HM1:IMSS strain by 71.1% (p < 0.001) and of 200: NIH strain by 95% (p < 0.05). Incubation of trophozoites for 24 hours with faecal extracts which contain bacterial and host hydrolases decreased the adherence of the HM1:IMSS strain by 69.2% (p < 0.01) and of the 200: NIH strain by 83.0%. Reduction of trophozoite adherence to CHO cells by hydrolases was promoted by 7.5 mM cycloheximide, and was reversible on incubation in an enzyme free medium. Decrease in CHO cell adherence of trophozoites was associated with decreased lectin on trophozoites as determined by immunofluorescence using a monoclonal antibody to the lectin. Purified lectin was degraded by the mixture of faecal culture supernant preparations and proteases, but not by either alone.
Mucin degrading bacterial glycosidases and colonic luminal proteases together, but not alone, degrade the key adherence lectin on E histolytica trophozoites resulting in decreased epithelial cell adherence. These in vitro findings suggest a potential novel host defence mechanism in the human colon wherein the invasiveness of a pathogen could be curtailed by the combined actions of bacterial and host hydrolases. This mechanism may be responsible for preventing mucosal invasion by pathogenic E histolytica.
目前尚不清楚阻止致病性溶组织内阿米巴侵袭结肠黏膜的因素。阿米巴诱导损伤发病机制的关键起始步骤是由溶组织内阿米巴表面糖蛋白凝集素介导的对靶细胞的黏附。正常存在于结肠腔内的黏蛋白降解细菌产生糖苷酶,可降解可溶性或细胞表面糖缀合物。
确定黏蛋白降解细菌产生的糖苷酶单独或与结肠腔内存在的蛋白酶联合作用,是否可通过降解溶组织内阿米巴黏附凝集素而降低其对靶上皮细胞的黏附。
测定溶组织内阿米巴滋养体菌株HM1:IMSS和200:NIH暴露于粪便培养上清液、黏蛋白降解细菌的培养上清液制剂及腔内蛋白酶后对中国仓鼠卵巢(CHO)细胞的黏附情况。用糖苷酶和蛋白酶处理前后,通过免疫荧光法测定溶组织内阿米巴滋养体表面黏附凝集素的量。通过凝胶电泳测定糖苷酶和蛋白酶对纯化的溶组织内阿米巴凝集素的作用。
单独用培养上清液制剂或蛋白酶孵育溶组织内阿米巴,并未改变其对CHO细胞的黏附。然而,将滋养体与培养上清液制剂及胰蛋白酶一起孵育24小时,可使HM1:IMSS菌株对CHO细胞的黏附降低71.1%(p<0.001),使200:NIH菌株的黏附降低95%(p<0.05)。将滋养体与含有细菌和宿主水解酶的粪便提取物孵育24小时,可使HM1:IMSS菌株的黏附降低69.2%(p<0.01),使200:NIH菌株的黏附降低83.0%。7.5 mM环己酰亚胺可促进水解酶降低滋养体对CHO细胞的黏附,且在无酶培养基中孵育后这种作用可逆转。用针对凝集素的单克隆抗体通过免疫荧光法测定,滋养体对CHO细胞黏附的降低与滋养体上凝集素的减少相关。纯化的凝集素可被粪便培养上清液制剂和蛋白酶的混合物降解,但单独用其中任何一种都不能降解。
黏蛋白降解细菌糖苷酶和结肠腔内蛋白酶共同作用而非单独作用,可降解溶组织内阿米巴滋养体上的关键黏附凝集素,导致其对上皮细胞的黏附减少。这些体外研究结果提示,人类结肠中可能存在一种新的宿主防御机制,即病原体的侵袭性可被细菌和宿主水解酶的联合作用所抑制。这种机制可能是防止致病性溶组织内阿米巴侵袭黏膜的原因。