Opportunistic pathogen Vibrio vulnificus causes severe systemic
infection in humans with high mortality. Although multiple
exotoxins have been characterized in V. vulnificus, their
interactions and potential synergistic roles in pathogen-induced
host cell death have not been investigated previously.
By employing a series of multiple exotoxin deletion mutants,
we investigated whether specific exotoxins of the pathogen
functioned together to achieve severe and rapid necrotic cell
death. Human epithelial cells treated with V. vulnificus with
a plpA deletion background exhibited an unusually prolonged
cell blebbing, suggesting the importance of PlpA, a phospholipase
A2, in rapid necrotic cell death by this pathogen. Additional
deletion of the rtxA gene encoding the multifunctional
autoprocessing repeats-in-toxin (MARTX) toxin did not result
in necrotic cell blebs. However, if the rtxA gene was engineered
to produce an effector-free MARTX toxin, the cell
blebbing was observed, indicating that the pore forming activity
of the MARTX toxin is sufficient, but the MARTX toxin
effector domains are not necessary, for the blebbing. When
a recombinant PlpA was treated on the blebbed cells, the blebs
were completely disrupted. Consistent with this, MARTX
toxin-pendent rapid release of cytosolic lactate dehydrogenase
was significantly delayed in the plpA deletion background.
Mutations in other exotoxins such as elastase, cytolysin/hemolysin,
and/or extracellular metalloprotease did not affect
the bleb formation or disruption. Together, these findings indicate
that the pore forming MARTX toxin and the phospholipase
A2, PlpA, cooperate sequentially to achieve rapid necrotic
cell death by inducing cell blebbing and disrupting the
blebs, respectively.
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