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Infection and Immunity, September 2004, p. 5349-5357, Vol. 72, No. 9
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.9.5349-5357.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Rhonda R. Powell,2,
Brenda H. Welter,2,
and Lesly A. Temesvari2*
Department of Genetics and Biochemistry,1 Department of Biological Sciences, Clemson University, Clemson, South Carolina2
Received 21 April 2004/ Accepted 22 May 2004
| ABSTRACT |
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| INTRODUCTION |
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The physiological role of lipid rafts has been the subject of numerous recent studies, and it has recently become clear that these membrane regions play an important role in a variety of cellular functions, including polarization, signal transduction, endocytosis, secretion, and cell-cell and cell-pathogen adhesion (17, 18, 21, 34, 36, 44). A range of cell surface receptors mediating signal transduction pathways through lipid rafts have been described, including the Fc
RI, T-cell, B-cell, epidermal growth factor, and Hedgehog receptors, as well as integrins (reviewed in reference 54). Typically, these receptors stably associate with the raft only after ligand binding. Once in the microdomain, the receptor cluster either recruits or encounters other signaling proteins triggering the signaling cascade (54).
Endocytic mechanisms may also rely on lipid rafts. For example, depletion of cholesterol from the membrane results in the inhibition of pinocytosis (23, 24), particularly caveolin- and clathrin-coated pit internalization (59, 67). More recently, a requirement for cholesterol has been identified for macropinocytosis in A431 epidermoid carcinoma cells (17). Interestingly, phagocytosis does not appear to be dependent on intact rafts (46).
Several studies also suggest a role for lipid rafts in secretion. Wang et al. (70) determined that cholesterol depletion in AtT-20 tumor cells blocks constitutive and regulated secretory vesicle formation while Martin-Belmonte et al. (36) demonstrated that the depletion of cholesterol results in the failure of Madin-Darby canine kidney (MDCK) cells to traffic exogenously expressed thyroglobulin, a principal secretory protein of thyroid epithelial cells. Accumulation of secretory proteins in the trans-Golgi network after cholesterol depletion suggests a loss in the ability to properly form secretory vesicles in depleted cells. By deduction, delivery of plasma membrane-resident proteins may also be inhibited by cholesterol depletion. In support of this, yeast mutants that were incapable of synthesizing sphingolipids and ergosterol were deficient in trafficking the plasma membrane-associated proteins Gas1p and Pma1p (3).
Lipid rafts are also important in regulating and maintaining cell-cell and cell-matrix adhesions. For example, the slime mold Dictyostelium discoideum adhesion molecule gp80 associates with raft-like microdomains (21, 22). In addition, in activated T cells, lipid rafts have been shown to segregate proteins, such as cell adhesion molecules, including the ß2 integrin LFA-1 (33). These data suggest that microdomains may also regulate integrin activity.
Entamoeba histolytica is a protozoan parasite that is the causative agent of 50 million cases of invasive amebiasis (reviewed in reference 57). The parasite, initially ingested as an environmentally stable cyst via contaminated food or water, passes through the stomach and excysts in the small intestine, releasing multiple amoeboid trophozoites. The amoebae move to the large intestine, where they rely on the endocytic pathway to obtain nutrients. Fluid-phase pinocytosis (1), phagocytosis (42), and receptor-mediated endocytosis (4, 47) have been described for this organism. Although little is known about the lipids or proteins that participate in endocytosis in Entamoeba, it has been demonstrated that a Rab7-like GTPase, EhRab7, associates with early pinosomes (71). Constitutive secretion of cysteine proteases from the pathogen, which also occurs during infection, participates in host cell destruction. Twenty cysteine protease genes have been isolated from Entamoeba (6), and it has been demonstrated that EhRab7 colocalized in compartments that harbor a well-characterized 27-kDa cysteine protease (71). Like for endocytosis, the lipids or proteins that participate in secretion of hydrolases from Entamoeba are not well characterized.
Virulence also relies on host cell contact, which triggers the regulated secretion of pore-forming peptides known as amoebapores (32). Adhesion to intestinal cells is mediated by a multisubunit lectin with specific affinity for galactose (Gal) or N-acetyl-D-galactosamine (GalNAc) (35). The adhesion lectin is comprised of a transmembrane heavy subunit (Hgl; 170 kDa) disulfide linked to a GPI-anchored light subunit (Lgl; 31 to 35 kDa) (14, 35). This heterodimer associates noncovalently with a GPI-anchored intermediate subunit (Igl; 150 kDa) (9, 43). Hgl has been shown to contain a carbohydrate recognition domain specific for Gal/GalNAc and, more recently, a cytoplasmic tail with sequence homology to those of ß2 and ß7 integrins (14, 68). A study involving a mutagenized heavy subunit of the Gal/GalNAc lectin has demonstrated the importance of the cytoplasmic tail of this subunit for inside out signaling (68). Integrins are known to bind to actin through several actin-binding proteins, and actin may also play a role in the adhesion of Entamoeba to host cells (7). For example, actin is localized to pathogen-host contact sites (66). Moreover, it is postulated that the Gal/GalNAc adherence lectin interacts with actin and stimulates pathways that induce actin polymerization (15).
Since Entamoeba membranes contain cholesterol (64), it is conceivable that raft-like domains exist in the plasma membrane of this organism. Therefore, we have conducted a study to identify and characterize raft-like domains in this pathogen. Treatment of Entamoeba cells with raft-disrupting agents demonstrated the importance of cholesterol in pinocytosis and adhesion of the parasite to a host-cell monolayer. Moreover, the isolation of DRMs revealed that the lectin heavy, intermediate, and light subunits were partially enriched in these microdomains. These results are the first to demonstrate the existence of raft-like microdomains in Entamoeba and illustrate the role of these microdomains in the virulence functions of this pathogen.
| MATERIALS AND METHODS |
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Lipid microdomain disruption. Raft-like microdomains were chemically disrupted by depleting cholesterol with methyl-ß-cyclodextrin (MBCD) (Sigma, St. Louis, Mo.) or by sequestering cholesterol with filipin (Fluka, Seelze, Germany). In all cases, MBCD was dissolved in TYI-33 medium (TYI-S-33 medium without serum) at the appropriate concentration; filipin was stored as a stock solution in ethanol (5 mg/ml) and diluted appropriately in medium as required (see below). Cells were treated for 30 min at 37°C with either MBCD (7.5 or 15 mM) or filipin (3.8 µM). For all experiments, mock-disrupted controls were utilized.
Fluorescent lipid analog staining. To stain raft and nonraft regions of the membrane, Entamoeba cells were allowed to adhere to a two-well coverslip slide (Lab-Tek, Christchurch, New Zealand) for 2 h in serum-free medium at 37°C. In some trials, rafts were disrupted by also treating cells with MBCD (7.5 mM) or filipin (3.8 µM) during the last 30 min of incubation. The medium was removed, and the cells were incubated with dialkyindocarbocyanine (DiIC16), 1.1 µM; (Molecular Probes, Eugene, Oreg.) or 1,1'-dilinoleyl-3,3,3',3'-tetramethylindocarboxyanine (FAST-DiI, 0.9 µM; Molecular Probes) for 2 min at room temperature. The cells were then fixed with 4% (vol/vol) paraformaldehyde (10 min at room temperature). The slides were then rinsed twice with phosphate-buffered saline (PBS), mounted in SlowFade antifade reagent in PBS (Molecular Probes), and viewed on a Zeiss LSM 510 confocal microscope.
Measurement of fluid-phase pinocytosis. Log-phase Entamoeba cells were iced for 10 min to remove them from the glass, pelleted by centrifugation (500 x g for 5 min), and resuspended in TYI-33 medium prewarmed to 37°C. Cells were then dispensed into 4-ml glass vials and allowed to recover at 37°C for 3 h. To carry out cholesterol depletion, additional prewarmed TYI-33 medium supplemented with MBCD (7.5 mM) or prewarmed TYI-33 medium alone (control) was added to the cells during the last 30 min of recovery. After the 30-min treatment, concentrated fluorescein isothiocyanate dextran (Sigma), diluted in prewarmed TYI-33 medium, was added to the cells at a final concentration of 2 mg/ml. At each time point (0 or 60 min), the cells were iced as described above, collected by centrifugation (500 x g, 1 min), and washed twice in ice-cold PBS. The cells were stored on ice as pellets. Ice-cold PBS was then added to each pellet, 10% of each sample was removed, and total protein was measured by using the bicinchoninic acid (BCA) protein assay kit (Pierce, Rockford, Ill.) according to the manufacturer's instructions. The remaining cells were lysed in 10% (vol/vol) Triton X-100 (Sigma) in PBS. Intracellular fluorescence was measured by using an FLx800 microplate fluorescence reader (Bio-Tek, Winooski, Vt.) with excitation and emission wavelengths of 485 and 528 nm. Fluorescence was corrected for autofluorescence by using the 0-min sample. Pinocytosis is reported as the fluorescence per milligram of protein.
Measurement of cysteine protease secretion. Secretion of cysteine protease was measured according to the method of Leippe et al. (32). Briefly, confluent Entamoeba cultures were iced to remove the cells from the glass, centrifuged (500 x g, 5 min), and resuspended in 1 ml of TYI-33 in which the phosphates had been replaced with 10 mM HEPES and supplemented with 0.15 mM CaCl2 and 0.5 mM MgCl2. To establish values for maximum release of protease, 0.4 ml of the suspension was withdrawn and subjected to three freeze-thaw cycles. The lysates were cleared by centrifugation (12,000 x g, 5 min) and stored at 80°C until the enzyme activity was measured. The remaining cell suspensions were placed in a 37°C water bath. For raft disruption prior to measurement of secretion, cells were allowed to recover for 30 min prior to the addition of MBCD, filipin, or ethanol (diluent control for filipin) as described above. At 0, 30, 60, 90, 120, and 180 min, samples of each suspension were collected and cell viability was estimated by trypan blue exclusion (0.5 mg/ml). Cells and supernatants were separated by centrifugation (500 x g, 5 min). Supernatants were removed and placed on ice until used for the activity assay. The peptide substrate, benzyloxycarbonyl-L-arginyl-L-arginine-p-nitroaniline, was diluted from a stock solution (10 mM in 90% dimethyl sulfoxide) to 0.1 mM in 0.1 M KH2PO4 and 2 mM EDTA (pH 7.0 with KOH). A 1:200 ratio of sample to peptide was added to the wells of a 24-well plate and incubated for 10 min at 37°C. Accumulation of free p-nitroaniline (yellow) was measured by using a µQuant plate reader (Bio-Tek Instruments) at 405 nm. The results were reported as percentages of the maximum release.
Adhesion of E. histolytica to CHO cell monolayer. Entamoeba adhesion was measured as described by Padilla-Vaca et al. (42). Briefly, CHO cells were plated and grown to confluence in a 24-well culture plate. The CHO cells were fixed in 4% paraformaldehyde to prevent cytolysis, washed twice with PBS, incubated in 200 mM glycine, and washed twice more in PBS. Control or raft-disrupted (15 mM MBCD, 3.8 µM filipin, or diluent control [0.0475% ethanol]) Entamoeba (in TYI-33) cells (104) were added to each well containing CHO cells and incubated for 30 min at 37°C. At the end of the incubation, the wells were gently washed twice with prewarmed medium to remove nonadherent trophozoites. The number of adherent Entamoeba cells from 90 fields of view were counted at a magnification of x40 on an Olympus CK2 inverted microscope.
Purification of detergent-resistant membranes and sucrose density centrifugation. Typically, 4 x 106 Entamoeba cells were centrifuged (500 x g for 5 min), resuspended in ice cold buffer 1 with protease inhibitors (40 mM sodium pyrophosphate, 0.4 mM dithiothreitol, 0.1 mg of phenylmethylsulfonyl fluoride/ml, 2 mM EDTA, 1 mM EGTA, 3 mM sodium azide, 10 mM Tris-HCl [pH 7.6]) containing 0.5% Triton X-100 at 4°C for 30 min and then centrifuged (14,000 x g for 5 min) at 4°C. The Triton-soluble supernatant (TSS) was removed, and the Triton-insoluble pellet (TIP) was resuspended in 80% (wt/wt) sucrose in buffer 1. A noncontinuous sucrose gradient was generated by using equal volumes of 80 (containing the TIP), 50, 30, and 10% (wt/wt) sucrose solutions in buffer 1. Samples were then centrifuged in a Beckman TL-100 ultracentrifuge (125,000 x g for 16 h) at 4°C. After centrifugation, the gradient was fractionated into 20 equal volumes (140 µl/fraction). A sample was immediately removed from each fraction, and the proteins were precipitated by the addition of trichloroacetic acid as described elsewhere (72). The precipitated proteins were resuspended in double-distilled H2O and mixed with 4x LDS buffer (Invitrogen, Carlsbad, Calif.) and 2-mercaptoethanol (10% [vol/vol] final concentration). Samples were stored at 20°C and used for sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and Western blot analysis as described below. The remainder of the sample was used to quantify cholesterol, sucrose, and protein levels from fractions as described below.
SDS-PAGE and Western blot analysis. SDS-PAGE and Western blot analyses were performed as described previously by Welter et al. (71). Protein samples from each fraction and the TSS were prepared as described above, loaded onto the wells of a 4 to 12 or 12% polyacrylamide gel (Invitrogen), electrophoresed at 200 V for 1 h, and transferred to a polyvinylidene difluoride membrane (Invitrogen) in Towbin buffer (62) for 1 h at 100 V. Blotted membranes were decorated with primary antibodies specific for the 170-kDa heavy subunit (polyclonal, 1:5,000 dilution), the 150-kDa intermediate subunit (polyclonal, 1:2,000 dilution), the 31- to 35-kDa light subunit (monoclonal, 1:4,000 dilution) (generous gifts of W. Petri, University of Virginia, Charlottesville), the membrane-bound cysteine protease EhCP5 (polyclonal, 1:1,333 dilution) (generous gift of Matthius Leippe, Research Center for Infectious Disease, Würzburg, Germany) (9, 25), or a commercially available pan-actin primary antibody (monoclonal, 1:800 dilution) (Novus Biologicals, Littleton, Colo.). Immunoblots were visualized by using the appropriate peroxidase-conjugated secondary antibody (1:5,000 dilution for goat anti-rabbit; 1:2,000 dilution for goat anti-mouse) (Cappel; ICN Pharmaceuticals, Costa Mesa, Calif.) and the enhanced chemiluminescence Western blotting detection system (Amersham Biosciences, Piscataway, N.J.) according to the manufacturer's instructions. Alternately, samples from each fraction were electrophoresed and silver stained according to the manufacturer's instructions (Pierce).
Sucrose gradient fraction characterization. Each fraction from the sucrose gradient was analyzed to determine the relative level of cholesterol and protein and the percentage of sucrose. Cholesterol quantification was performed by using the Amplex Red cholesterol assay kit (Molecular Probes) according to the manufacturer's instructions. Levels of cholesterol were reported as fluorescent units (fl) of cholesterol per microgram of protein. Protein was measured by using the bicinchoninic acid protein assay kit (Pierce) according to the manufacturer's instructions. Sucrose levels were determined by refractometry by using an ADP220 polarimeter (Bellingham and Stanley, Inc., Lawrenceville, Ga.) according to the manufacturer's instructions.
Statistical analysis. Unpaired t tests were performed with the computer program GraphPAD Instat (version 3.05; IBM). All values are represented as the means of the results from at least three trials (± standard deviations [SD]).
| RESULTS |
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The pellet (fraction P) may represent incompletely solubilized lysates which may harbor unbroken cells and/or unbroken intracellular transport vesicles. Indeed, this would explain the presence of Hgl, Igl, Lgl, and actin in this fraction. Alternatively, the pellet may represent very large and stable protein complexes that include the lectin. Given the proposed role of the lectin in signaling (14, 68), it would not be surprising to find this adhesion molecule interacting with a variety of proteins (see Discussion). Further experimentation is necessary to distinguish between these possibilities. The lack of Igl staining in high-density, actin-rich fractions may indicate that Igl association with actin is weaker than that of the Hgl-Lgl heterodimer and/or that the subunit is excluded from some of the protein complexes containing Hgl and Lgl. The latter may have important regulatory consequences.
Finally, a membrane protein not involved in adhesion, EhCP5, was determined to localize partially to the TIP (fraction P) but did not float in the gradient. These results support the specificity of the flotation observed for the lectin. In all cases, the proteins described above were also observed in the TSS fraction, suggesting the ability of these proteins to move between these two membrane domains. A silver stain of the sucrose gradient fractions and TSS revealed a marked increase in protein staining beginning at
31% sucrose (fraction 8) over less-dense fractions, and differential protein band patterns can be observed among the fractions (Fig. 5A).
| DISCUSSION |
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In other systems, it is established that cholesterol-rich membrane domains play a role in endocytosis. Reduction of cholesterol by inhibiting its synthesis with oxygenated cholesterol derivatives was shown to decrease pinocytic rates in L cells (23, 24). More recently, the uptake of an apoptotic agent alkyl-lysophospholipid or the transferrin receptor was blocked by treatment with MBCD or filipin (63). In another example, depletion of cholesterol was coupled with an increased residency of clathrin in the plasma membrane and a decrease in the proportion of deeply invaginated clathrin-coated pits, suggesting that raft-like domains participate in the early formation of endocytic vesicles (59). While clathrin has been identified in Entamoeba cells (61), its role in endocytosis in this organism has not been established. Here, we demonstrate the importance of intact raft-like domains to fluid-phase pinocytosis in Entamoeba cells, suggesting that molecular mechanisms, similar to those in higher eukaryotes, may govern this process in this pathogen.
Secretion is a vital component to the virulence of Entamoeba cells, as several released toxic molecules, such as cysteine proteases and the pore-forming peptide amoebapore, participate in the destruction of the colonic epithelium, gut-resident bacteria, and erythrocytes. Lipid rafts have been implicated in the secretory capabilities of several cell lines. For example, the neuroendocrine tumor cell line, AtT-20, was defective in the formation of both constitutive and regulated secretory vesicles from the trans-Golgi network upon cholesterol depletion (70). Notably, after cholesterol depletion of rat pancreatic cells, amylase was secreted constitutively rather than in a regulated fashion (50). These results suggest that, at least for rat pancreatic cells, regulated secretory events are lipid raft dependent, whereas constitutive secretion is lipid raft independent. Similarly, the release of cysteine protease from Entamoeba cells, which is a constitutive secretory event (32), was not affected by the disruption of raft-like domains. However, we cannot rule out the possibility that regulated secretory events, such as the release of the amoebapore, are sensitive to raft disruption in Entamoeba cells.
Amoebic infection is dependent on the ability of the trophozoite to adhere to the colonic epithelium. Here, adhesion of Entamoeba cells to a CHO monolayer was blocked upon treatment with raft-disrupting agents MBCD and filipin (Fig. 4). Our results are consistent with those of other reports that have described the necessity of microdomains for cell-cell adhesion. In D. discoideum, cell-cell adhesion was also shown to be sensitive to raft-disrupting agents, such as filipin or digitonin (21). Furthermore, the Dictyostelium cell adhesion molecule gp80 was isolated in the low-density, raft-like fractions of a sucrose gradient (21, 22).
Adhesion complexes in higher eukaryotes have also been shown to be raft associated. In RBL-2H3 mast cells, the immunoglobulin E receptor, Fc
RI, was evenly distributed in the plasma membrane but was observed to colocalize with the lipid raft marker, fluorescent cholera toxin B subunit, upon ligand binding (reviewed in reference 28). Connexin 43, an adhesion molecule important in gap junctions, has been determined to reside in raft-like microdomains at the junctional membrane regions of NIH 3T3 fibroblasts and human embryonic kidney 293T cells (51). In leukocytes, lipid rafts are critical in adhesion as well as in the cellular response to a presented antigen (30, 33). For example, binding of the T-cell receptor to antigen initiates its association with a number of proteins, including cytoplasmic protein tyrosine kinases, membrane-associated Src-family kinases, and several receptor-associated proteins in raft-like microdomains (27). Once this activation and signaling machinery assembles in the raft, downstream signaling events mediated by the small GTPase, Rap1A, focal adhesion kinase, proline-rich tyrosine kinase-2, and mitogen-activated protein kinase and actin reorganization occur (27, 38, 48, 52). Disruption of microdomains in these cells results in an inability to propagate this antigen-dependent signal (27).
The precise molecular mechanism by which Entamoeba adheres to mammalian cells has not been discerned. However, it is known that the Gal/GalNAc-inhibitible lectin is necessary for both adhesion to host cells and virulence (14, 31, 42, 45, 49). To date, the heavy and light subunits have always been detected jointly in amoebae or by Western blots of native proteins (35). Likewise, in this study, the heavy and light subunits exhibit similar distribution in the sucrose gradient. Studies in which the heavy subunit was mutagenized identified ß2 and ß7 integrin-like sequences in the cytoplasmic tail of the heavy subunit (68). Interestingly, the integrin family of adhesion proteins, which consists of allosteric signaling molecules that mediate intracellular (inside out) or extracellular (outside in) signals, are often associated with raft-like microdomains and with the cytoskeleton through several actin-binding proteins (29, 30). The results of this study, which demonstrate the enrichment of the Gal/GalNAc lectin heavy subunit in both the cholesterol- and actin-rich domains supports the notion (68) that this adhesion molecule may be functionally similar to integrins.
Several reports demonstrate a direct interaction between lipid rafts and the actin cytoskeleton, which may account for the dual localization of the Gal/GalNAc heavy (and consequently, light) subunit. First, upon cholesterol depletion of hippocampal cells with MBCD, dendritic spines, typical membrane outgrowths of this cell type, were observed to immediately collapse due to F-actin redistribution from the spines to dendritic shafts (26). Second, actin depolymerization was observed in microvilli and lamellipodia of fibroblasts upon cholesterol depletion (39). Third, proteomic analysis of the detergent-resistant membrane from neutrophils revealed the association of an F-actin-binding protein, supervillin (41). Interestingly, the ß2-integrin, LFA-1, is excluded from microdomains in unstimulated T cells due to cytoskeletal constraints. Upon activation, the protein moves into the more-ordered domain to presumably mediate a signal either from internal or external sources (33). Although it is not clear why the subunits of Entamoeba Gal/GalNAc lectin partition into both raft-like sucrose gradient fractions and actin-rich fractions of higher density, the data support the previously reported notion that mechanisms similar to those for LFA-1 may regulate the Gal/GalNAc lectin (68). In other words, the Gal/GalNAc heterodimer (which consists of Hgl and Lgl) may be excluded from microdomains through its interaction with the actin cytoskeleton. Upon binding to Gal- or GalNAc-containing ligands, the proteins may be released from the cytoskeleton and become incorporated into raft-like regions of the membrane. This may initiate a signaling cascade that would trigger virulence functions, including the release of the pore-forming peptide amoebapore.
Hgl and Lgl were also found in the pellet that formed at the bottom of the gradient. The pellet (fraction P) may represent incompletely solubilized low-density fractions or large, stable protein complexes that include the lectin. Given the proposed role of the lectin in signaling (68), it would not be surprising to find this adhesion molecule forming complexes with other proteins. In support of this, it has been shown that integrins form large complexes with transmembrane 4 superfamily proteins that are >20 million Da and remain intact after treatment with Triton (10).
The precise function and role of Igl in adhesion and virulence has not been described; however, it is known that amoebic adhesion to CHO cells is blocked upon incubation of Entamoeba with a monoclonal antibody to the protein (8). Previously, Igl was shown to have a GPI anchor sequence motif on its carboxy terminus, Gal/GalNAc binding affinity independent of that of Hgl, and a noncovalent association with the Hgl/Lgl heterodimer, and it has recently been postulated to function as a coreceptor for the heterodimer (35, 43). Our work demonstrates that Igl is associated with lipid raft fractions and actin-rich fractions; however, unlike Hgl and Lgl, it is not found in the densest fractions of the sucrose gradient. This indicates that Igl does not associate with actin as strongly as the Hgl/Lgl heterodimer and/or may not be included in some of the protein complexes containing the other two subunits. In the second scenario, Igl may serve as a regulator for adhesion and/or downstream signaling events associated with virulence.
This analysis is the first to describe raft-like lipid microdomains in Entamoeba cells and to illustrate their potential physiological significance for this human intestinal parasite. Lipidomic and proteomic analyses of the detergent-insoluble regions of the Entamoeba plasma membrane, currently under way, will greatly advance the knowledge of host-pathogen interactions. These future studies will provide greater insight into the role of lipid rafts and the mechanisms governing the virulence of this human pathogen.
| ACKNOWLEDGMENTS |
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We thank William Petri, University of Virginia, for antibodies to the Gal/GalNAc lectin, Matthius Leippe, Research Center for Infectious Disease, for antibodies to EhCP5, John Kaup and Andy Mount, Clemson University, for assistance in quantifying sucrose, Karl Franek, Clemson University, for critical review of the manuscript, and Gary Powell, Clemson University, for helpful discussion.
We acknowledge the support of the Biomedical Sciences and Engineering Institute of Clemson University.
| FOOTNOTES |
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These authors contributed equally to this work. ![]()
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