551 Shiga Toxin 1 Uptake By Intestinal Epithelial Cells Is CDC-42 Mediated and Clathrin-Independent

Shiga toxins (Stx) 1 and 2 are major contributors to foodborne disease caused by enterohemorrhagic E.coli (EHEC). Human intestinal epithelial cells (IEC) do not normally express Stx receptor (the glycosphingolipid Gb3), leaving the mechanism of Stx uptake poorly understood. Inhibition of clathrin-mediated endocytosis significantly increases Stx1 uptake in Gb3-free IEC. We thus now test the hypothesis that cell division cycle 42 (Cdc-42) dependent fluid phase endocytosis might be involved in clathrin-independent Stx1 uptake by IEC In Vitro and In Vivo. Methods: In Vivo: We compared pathologies in New Zealand white rabbits fed with either a) an experimental RDEC-H19A strain engineered to express Stx1, since it produces intestinal pathology quite similar to that noted in human EHEC or b) a control RDEC-1 E. coli strain that adheres to rabbit mucosa to provide an attaching and effacing lesion or c) PBS, to provide a negative control for effects of bacterial infection. Immunofluorescence of frozen sections from cecal tissue of rabbits studied at times up to 7 days after infection assessed a) uptake of Stx1 and b) presence of activated Cdc-42 in IEC. In Vitro: The apical uptake of the recombinant B-subunit of Stx1 labeled with Alexa 680 fluorescent dye (Stx1B) was assessed in T84 IEC that were: a) treated with agents known to inhibit clathrin-mediated endocytosis, b) depleted of Cdc42 by shRNA or c) untreated controls using biochemical and immunofluorescence methods. Results: 1) Cecal tissues from rabbits treated with either RDEC-1 or RDEC-H19A bacteria, but not those from PBS-treated animals, displayed Cdc42 activation in subsets of epithelial cells at sites near and those distant from attached bacteria. 2) T84 cells incubated with the inhibitors of clathrin mediated endocytosis chlorpromazine or low potassium increased Stx1B uptake in a time-dependent fashion. This stimulation was virtually eliminated, however, in T84 cells in which Cdc-42 was downregulated using shRNA. 3) The specific blocker of Cdc-42 function and nucleotide exchange, Pirl-1, also prevented stimulation of Stx1B uptake in concentration-dependent way in cells treated with inhibitors of clathrin-mediated endocytosis. 4) This clathrin independent Cdc-42 mediated Stx1B uptake was also dynamin dependent. Dynasore, a specific inhibitor of dynamin GTPase activity, inhibited the Stx1B uptake in cells with inactivated clathrin induced endocytic pathway. Conclusions: 1) Basal Stx1uptake by Gb3 negative T84 cells is regulated by Cdc-42. 2) Cdc-42 dependent clathrin independent pathway is likely to be involved in IEC uptake of Stx1 during EHEC infections.