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Infection and Immunity, January 2007, p. 488-496, Vol. 75, No. 1
0019-9567/07/$08.00+0 doi:10.1128/IAI.01336-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Department of Molecular Infectiology,1 Department of Pediatric Surgery,2 Department of Molecular Diagnosis and Clinical Genetics, Graduate School of Medicine,4 Division of Laboratory Medicine, Chiba University Hospital, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba 260-8670, Japan,3 Pulmonary-Critical Care Medicine Branch, NHLBI, National Institutes of Health, Bethesda, Maryland 20892-15905
Received 21 August 2006/ Returned for modification 22 September 2006/ Accepted 13 October 2006
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1 ng/ml. The A subunit, containing serine 272, which is thought to be a part of the catalytic triad of a subtilase-like serine protease, plus the B subunit was necessary for this activity, both in vivo and in vitro. SubAB did not cleave azocasein, bovine serum albumin, ovalbumin, or synthetic peptides. These data suggest that SubAB is a unique AB toxin: first, the B subunit alone can induce vacuolation; second, the A subunit containing serine 272 plus the B subunit inhibited protein synthesis, both in vivo and in vitro; and third, the A subunit proteolytic activity may have a strict range of substrate specificity. |
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Infections with Shiga toxin-producing bacteria are responsible for diseases such as hemolytic uremic syndrome (HUS), which is characterized by thrombocytopenia, microangiopathic hemolytic anemia, and renal failure. In some cases, severe neurological manifestations are observed (10, 11, 12, 33). These infections are a great threat to human health, not only in developing but also in developed countries. However, whether Shiga toxin is responsible for the clinical presentations is still not clear. Putative accessory virulence factors have been reported, including enterohemolysin, serine protease, and heat-stable enterotoxin. There may be additional factors responsible for disease severity (2, 3, 17, 24, 30, 31).
A new member of the AB5 toxin family, named subtilase cytotoxin (SubAB), was identified by Paton et al. (23) from E. coli O113:H21 strain 98NK2, which produced Stx2 and was responsible for an outbreak of HUS (21). The SubAB A subunit (SubA), with a molecular weight of 35 kDa, has a structure similar to that of a subtilase-like serine protease and is distantly related to the BA 2875 gene product of Bacillus anthracis. The B subunit (SubB) consists of a pentamer of 13-kDa monomers, which are related to a putative exported protein from Yersinia pestis. SubAB was shown to be cytotoxic to Vero cells and lethal for mice, causing extensive microvascular thrombosis as well as necrosis in the brain, kidney, and liver (23).
We wanted to elucidate the presently unknown molecular mechanism of action of this novel cytotoxin. Paton et al. showed the existence of the subA gene in 11% of E. coli producing Stx (22). In a survey of 11 strains of Stx-producing E. coli, we found the subAB region by PCR with specific primers for subAB in one strain of E. coli O29 which produced Stx2. Recombinant SubAB protein at concentrations of >1 µg/ml induced vacuolation in Vero cells after 8 h, an observation not reported earlier (23). Lower concentrations of toxin (<1 µg/ml) inhibited growth; after 48 h, rounded cells detached from the plate, as had been noted previously (23). We found that SubAB cytotoxicity was associated with the inhibition of protein synthesis, as described for Shiga toxin, but occurred by a different mechanism, most likely the putative protease activity of SubA. This activity was not found in the SubAB(S272A) mutant toxin, which still had vacuolation activity. We report here that SubAB is a novel toxin; its activities include the inhibition of protein synthesis and vacuole formation. The inhibition of protein synthesis by SubA required serine at position 272 and SubB, whereas SubB alone induced vacuolation.
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Chemicals. Bafilomycin A1 was purchased from Wako Pure Chemical Industries, Ltd. His-Select Nickel Affinity Gel was purchased from Sigma. Anti-ß-COP antibodies were from Affinity Bioreagents, and anti-EEA1 antibodies were from Transduction Laboratories. Alexa488-conjugated anti-rabbit and anti-mouse immunoglobulin G (IgG) antibodies were from Molecular Probes. L-[U-14C]Leucine (50 µCi/ml) was from Amersham Pharmacia Biotech. Synthetic peptides Z-Ala-Ala-Leu-pNA, Boc-Arg-Val-Arg-Arg-MCA (where Boc is t-butyloxycarbonyl, and MCA is 4-methylcoumarin), and MOCAc-Ser-Glu-Val-Asp-Leu-Asp-Ala-Glu-Phe-Arg-Lys(Dnp)-Arg-Arg-NH2 [where MOCAc is (7-methoxycoumarin-4-yl)acetyl, and Dnp is 2,4-dinitrophenol] were purchased from Peptide Institute, Inc. Cholera toxin B subunit was purchased from Calbiochem, and Stx1 was prepared by the method reported previously (15).
Cloning and expression of SubAB from E. coli O29.
DNA was extracted from E. coli O29. PCR amplification using forward primer 5'-GCTGGATCCGATGCTTAAGATTTTATGGACG-3' and reverse primer 3'-GATTATCTCGAGTGAGTTCTTTTTCCTGTCAGG-3' (underlined sequences are restriction sites for BamH1 and Xho1, respectively) resulted in a product of the expected size, which was subcloned into pCR-TOPO vector by TOPO TA cloning (Invitrogen). DNA was digested by BamH1 and Xho1 and ligated into pET23b(+) (Novagen), which had been digested with BamH1 and Xho1; the vector was used for the transformation of E. coli DH5
. The plasmid was sequenced and then used for the transformation of E. coli BL21(DE3). Expressed recombinant six-His-tagged protein was purified under native conditions using Ni-nitrilotriacetic acid (NTA) agarose (23). SubA and SubB were produced using a method similar to that for SubAB, using forward primer 5'-GCTGGATCCGATGCTTAAGATTTTATGGACG-3' and reverse primer 5'-GGCTCGAGCAGTTCTTCACTCATCCTTC-3' (underlined sequences are restriction sites for BamH1 and Xho1, respectively) for SubA and forward primer 5'-GCGGATCCGATGACGATTAAGCGTTTTTTTG-3' and reverse primer 5'-GATTATCTCGAGTGAGTTCTTTTTCCTGTCAGG for SubB (underlined sequences are restriction sites for BamH1 and Xho1, respectively).
Site-directed mutagenesis of SubAB. To replace active site serine (S272) with alanine in SubA, a QuikChange site-directed mutagenesis kit (Stratagene) was used. Primers were 5'-CTGGTAGCGGAACGGCAGAAGCAACAGCTATAG-3' and 5'-CTATAGCTGTTGCTTCTGCCGTTCCGCTACCA-3' (mutated bases are underlined). The sequence was confirmed with an ABI 377 automatic sequencer. The mutant, SubAB(S272A), was purified using the same method as described for the wild-type SubAB.
Assay of protein synthesis in vivo. Vero cells were seeded at 2 x 105 cells/24-well plate (each well, 1 ml) and grown overnight. Medium was replaced with 0.5 ml of MEM-10% FBS, containing 0.625 µCi/ml of [14C]leucine. After the addition of SubAB (50 µl), the plate was incubated at 37°C for 2 h in a water bath. Protein synthesis was stopped by the addition of 0.25 ml of 30% trichloroacetic acid (TCA); cells were washed three times with 1 ml of 10% TCA and lysed in 0.25 ml of 0.5 M KOH for 10 min at 37°C. The lysate was neutralized with 0.25 ml of 0.5 M acetate, and protein synthesis was quantified by a radioassay of 14C (36).
Assay of protein synthesis in vitro. Protein synthesis in a cell-free system was investigated using a Retic lysate IVT in vitro translation kit (Ambion Inc.) following the manufacturer's instructions. Various amounts of toxin were incubated at 30°C for 60 min with [14C]leucine in a reaction mixture (company supplied) having a total volume of 12.5 µl. The reaction mixture was then placed on ice, and 3-µl samples were placed into new tubes with 0.5 ml distilled water and incubated at 30°C for 10 min after the addition of a 0.5 ml decolorizing solution (1 N NaOH, 1 mM leucine, 1.5% H2O2). Cold 25% TCA was added, and after 5 min on ice, the precipitate was collected by vacuum filtration on GFC glass filters, and the 14C radioactivity was determined.
Assay of cell vacuolation. Cells (2 x 104 in 90 µl) were seeded into a 96-well plate; indicated concentrations of toxin were added (final volume, 100 µl), followed by incubation at 37°C for 18 to 20 h. Medium was removed, and 50 µl of 0.025% neutral red in phosphate-buffered saline (PBS) was added, followed by incubation for 7 min. Cells were washed with PBS twice, and then 100 µl of solution (0.4% 1 N HCl in 70% ethanol) was added, followed by the determination of A540.
Assay of viable cells. Various concentrations of SubAB were added to 1 x 105 cells/24-well plates (500 µl/well), which were incubated at 37°C in a 5% CO2 atmosphere. At each time point, cells were detached from the substratum by trypsin and collected in a microtube by centrifugation (100 x g, 5 min). A solution of 0.04% trypan blue-PBS was added, and viable, unstained cells were counted.
Internalization of SubAB. Internalization of SubAB was determined as described previously (16). Briefly, Vero cells (2 x 104 cells/well) were cultured in Eagle's MEM with 10% fetal calf serum in 96-well plates overnight. Biotin-labeled SubAB was prepared according to the supplier's instructions, using EZ-Link sulfo-N-hydoroxylsulfosuccinimide-biotin (sulfo-NHS-SS-biotin) (Pierce). Cells were washed with cold Hanks' balanced salt solution with 0.1% bovine serum albumin (BSA) (HBSS-BSA) three times before the addition of 100 µl of SubAB (2 µg/ml) in HBSS-BSA, incubated at 4°C for 30 min, and then washed three times with cold HBSS to remove unbound toxin. Cells were then incubated at 37°C for the indicated time before washing immediately with cold HBSS, fixation with 0.25% glutaraldehyde in PBS, and the addition of 0.5 M 2-mercaptoethanesulfonic acid (MESNA), which does not enter cells, to reduce disulfide bonds and release biotin from SubAB bound to the cell surface. After additional incubation at room temperature for 30 min, cells were permeabilized with 1% Triton X-100 for 15 min and fixed for 20 min. After blocking with 3% BSA in PBS for 1 h, cells were incubated with horseradish peroxidase (HRP)-conjugated streptavidin for 1 h, and HRP was detected with BM blue substrate (Roche Diagnostic Corp.). After a 20-min incubation, the reaction was stopped with 1 M H2SO4, and color was measured at 450 nm. Background absorbance was subtracted. Between each step, cells were washed with PBS three times.
Localization of fluorescein-labeled SubAB. SubAB was labeled with Cy3 using a Fluorolink-Ab Cy3 labeling kit (Amersham Pharmacia Biotech, Ltd.). Cells (2 x 105/well) were seeded in six-well plates containing coverslips and incubated at 37°C overnight. After washing, cells were incubated at 4°C for 30 min in HBSS-BSA containing Cy3-labeled SubAB. Then, cells were washed to remove unbound toxin and incubated at 37°C for the indicated times. Cells were then fixed with 3% paraformaldehyde for 20 min, quenched with 50 mM NH4Cl for 10 min, and permeabilized with 0.1% Triton X-100 in PBS for 4 min. Then, cells were blocked with 3% BSA in PBS for 1 h. Cells were incubated with mouse anti-EEA1 antibody (1:100) or rabbit anti-ß-COP (1:500) for 1 h and then for 1 h with Alexa488-conjugated anti-mouse IgG (1:500) or Alexa488-conjugated anti-rabbit IgG (1:500) secondary antibody, respectively. Colocalization was determined by confocal microscopy.
Protease activity with azocasein. Sample was added to a reaction mixture containing 0.4% azocasein and 10 mM Tris-HCl buffer (pH 7.5) in a final volume of 500 µl, followed by incubation at 37°C for 1 h. The reaction was terminated by the addition of 10% TCA, and the solution was centrifuged at 13,000 x g for 10 min. The supernatant was mixed with an equal volume of 1 N NaOH, and the optical density of the solution was measured at 450 nm (38).
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SubAB produced large vacuoles in Vero cells (Fig. 1C). Vacuolation was induced at concentrations of SubAB greater than 1 µg/ml when assessed by direct count (phase-contrast microscopy) or neutral red incorporation (Fig. 2A and B) and appeared around 8 h after the addition of SubAB to Vero cells (Fig. 2C). Cells were disrupted at 48 h (Fig. 1F). To determine whether SubAB-induced vacuolation is dependent on the function of vacuole-type ATPase proton pumps, we used bafilomycin A1, which targets V-ATPase protein pumps (1, 6, 14). Bafilomycin A1 inhibited SubAB-induced vacuolation in a concentration-dependent manner (Fig. 2D).
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FIG. 1. Cytotoxicity of SubAB for Vero cells (A to F). Cells were treated with the indicated amounts of SubAB for 24 (A to C) and 48 h (D to F). Phase-contrast microscopy pictures are shown. (G) Viable cells were counted at the indicated times using trypan blue exclusion. Control ( ), 0.001 µg/ml ( ), 0.01 µg/ml (), 0.1 µg/ml ( ), 1 µg/ml ( ), and 10 µg/ml ( ). Experiments were repeated twice with similar results.
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FIG. 2. Vacuolation by SubAB in Vero cells. (A) Monolayers in 96-well plates were treated with the indicated concentrations of SubAB for 18 h, and neutral red incorporation at A540 was determined. A540 in control cells (1.3) was subtracted. (B) Cells (1 x 105) were seeded in 24-well plates and incubated with various concentrations of SubAB for 18 h; the percentage of cells with vacuolation was calculated by direct microscopic visualization. (C) Monolayers in 96-well plates were treated with 10 µg/ml of SubAB for the indicated times, and neutral red incorporation was evaluated. A540 in control cells (1.46) was subtracted. (D) Monolayers in 96-well plates were treated with the indicated concentrations of bafilomycin A1 and 5 µg/ml of SubAB for 18 h, and neutral red incorporation was evaluated at A540. Absorbance in control cells (2.2) was subtracted.
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1 µg/ml) induced growth inhibition (Fig. 1B and E), and at more than 48 h, round cells appeared, which were detached from the substratum (Fig. 1E). These round cells were stained with trypan blue, suggesting that they were not viable. A similar cell-damaging effect of SubAB was reported by Paton et al. (23). Toxin (10 µg/ml) induced vacuolation, and viable cells were not seen after 1 day (Fig. 1G). Toxin concentrations less than 1 µg/ml did not induce vacuolation, as reported above; however, cell growth was suppressed, and gradually, viable cells were lost. As this cell damage took more than 2 days, we investigated whether protein synthesis of Vero cells was suppressed by SubAB. Leucine incorporation into a TCA-precipitated fraction of Vero cells was suppressed by SubAB in a dose-dependent manner: a 50% inhibitory dose was
1 ng/ml (Fig. 3A). Leucine incorporation was suppressed at 20 min (P = 0.14) and 30 min (P = 0.02) with 10 µg/ml of toxin (Fig. 3B).
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FIG. 3. Effect of SubAB on [14C]leucine incorporation into Vero cells. (A) Vero cells (2 x 105 cells) were seeded in a 24-well plate and incubated overnight. [14C]Leucine and the indicated concentrations of SubAB were added to cells, which were then incubated for 2 h. After the addition of TCA (5%) to stop the reaction, [14C]leucine incorporation was determined and expressed as a percentage of control. The disintegrations per minute (dpm) value of control samples was 4,093 ± 744. Data are the means ± standard deviations (SD) of values from four samples. (B) Vero cells were incubated with ( ) or without ( ) 10 µg/ml of SubAB for the indicated times, and [14C]leucine incorporation was determined. Basal dpm (43.7) was subtracted. Data are the means ± SD of values from four samples. Experiments were repeated three times with similar results. P values for the comparison of control and SubAB-treated cells at 20 and 30 min were 0.14 and 0.02, respectively.
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FIG. 4. Effect of mutant SubAB on Vero cells. (A to C) SubAB(S272A) was added to monolayers of Vero cells for 24 h, and cell morphology was observed with a phase-contrast microscope. (D) SubAB(S272A) was added to monolayers of Vero cells, and viable cells were counted by trypan blue dye exclusion. Control ( ), 0.001 µg/ml ( ), 0.01 µg/ml (), 0.1 µg/ml ( ), 1 µg/ml ( ), and 10 µg/ml ( ) of SubAB(S272A). (E) Vacuolating activity of SubAB(S272A) was evaluated by direct microscopic visualization and compared to that of SubAB, as shown in Fig. 2B. SubAB ( ) and SubAB(S272A) ( ).
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FIG. 5. Effect of A and B subunits on vacuolation. (A) Monolayers in a 96-well plate were treated with various concentrations of SubA (), SubB ( ), and SubAB ( ) for 18 h, and neutral red incorporation was evaluated at A540. Data are the means ± standard deviations (SD) of values from three samples. (B) Monolayers in 96-well plates were treated with the indicated concentrations of bafilomycin A1 and 5 µg/ml SubB ( ) or 10 µg/ml SubAB ( ) for 18 h. Neutral red incorporation was evaluated at A540. Data are the means ± SD of values from three samples. (C) Phase-contrast microscopy pictures of vacuoles formed in Vero cells treated with 10 µg/ml SubB for 2 and 4 days.
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FIG. 6. Effect of A and B subunits on protein synthesis in Vero cells. The indicated concentrations of SubA ( ), SubB ( ), or SubAB () and [14C]leucine were added to monolayers of Vero cells as described in the legend to Fig. 3A. [14C]Leucine incorporation was determined and expressed as a percentage of control. The disintegrations per minute value of control samples was 1,426 ± 396. Data are the means ± SD of values from three samples. Experiments were repeated twice with similar results.
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FIG. 7. Internalization of SubAB in Vero cells. (A) Time course of internalization of SubAB. Biotin-labeled SubAB was bound to monolayers of Vero cells in a 96-well plate at 4°C for 30 min and then incubated at 37°C for the indicated times after washing to remove unbound toxin. At the indicated time, cells were fixed and biotin bound to the cell surface was removed with MESNA; internalized biotin was quantified as in Materials and Methods. The total binding to Vero cells was 0.871 ± 0.041. Data are the means ± SD of values from four samples. (B) Colocalization of SubAB with EEA1 and ß-COP. Cy3-labeled SubAB or Stx1 was bound to Vero cells at 4°C for 30 min, which were then incubated at 37°C for the indicated times after washing to remove unbound toxin. Cells were fixed and incubated with anti-EEA1 or anti-ß-COP antibodies, after treatment with 0.1% Triton X-100, followed by Alexa488-conjugated secondary antibodies, as described in Materials and Methods.
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FIG. 8. Effect of SubAB on the protein synthesis in a cell-free system. (A) The indicated concentrations of SubAB ( ), SubAB(S272A) ( ), and SubA ( ) were incubated with [14C]leucine in a reaction mixture (company supplied) (total volume of 12.5 µl) at 30°C for 60 min, and [14C] radioactivity of TCA-precipitated samples on GFC glass filters was determined as described in Materials and Methods. Disintegration per minute of control sample without toxin was 751.5 ± 25.5. Data are expressed as a percentage of the control. Data are the means ± standard deviations (SD) of values from four samples. (B) Effect of A and B subunits on protein synthesis in a cell-free system. SubA (80 ng), SubB (90 ng), SubA+SubB (90 ng), SubAB (340 ng), and SubAB(S272A) (340 ng) were incubated with [14C]leucine in a reaction mixture at 30°C for 60 min. Data are the means ± SD of values from four samples of SubAB and three samples of the others.
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80% of cells (data not shown); thus, the amino acid difference was not responsible for the vacuolating activity. Vacuolation was not found with another AB5 toxin (e.g., cholera toxin B subunit did not induce vacuolation when added to Vero cells at 20 µg/ml [data not shown]); therefore, vacuolation of SubB is not a general phenomenon of AB5 toxins. Vacuolation induced by bacterial toxins was recently examined using VacA produced by Helicobacter pylori (4, 7, 18, 19). Sequence similarity between the functional vacuolating domain of VacA (37) and that of SubB was not found. However, similar to VacA, V-ATPase was necessary to induce vacuolation by SubB, suggesting that vacuoles may be formed by a similar mechanism. Vacuolation resulted in cell damage; however, a larger amount was required compared to that required for protein synthesis inhibition. In this report, we also show that cell cytotoxicity induced by ng/ml amounts of toxin was associated with protein synthesis inhibition. About 20 min (Fig. 3B) was required to abolish protein synthesis, consistent with the time necessary for the delivery of toxin. This was also suggested by the experiment using biotin- or Cy3-labeled toxin (Fig. 7). Some other AB subunit toxins also suppress protein synthesis. One is Stx, a member of bacterial toxins produced by Shigella dysenteriae and Stx-producing E. coli. The Stx A subunit has RNA N-glycosidase activity (5), which is responsible for inhibiting protein synthesis; the B5 subunits of Stx bind to the receptor (e.g., globotriaosyl ceramide [Gb3]) (13, 35). Other toxins which inhibit protein synthesis include diphtheria toxin and pseudomonal exotoxin A, which inactivate elongation factor 2 through ADP ribosylation (9, 20). In both cases, toxins are endocytosed after binding to their respective cell surface receptors and are transported to different intracellular destinations. Stx internalizes by endocytosis into early endosomes, traffics by retrograde movement from the Golgi to the ER, and then crosses the vesicle membrane into cytosol (27, 29). By contrast, diphtheria toxin is internalized by endocytosis and moves across endosome membranes into cytosol (26, 34). The toxins then exert their effects in the cytosol. This trafficking caused a delay in toxin action, similar to that seen with the inhibition of protein synthesis by SubAB. Confocal microscopic observation (Fig. 5B) suggested that SubAB did not traffic in a retrograde manner and might instead traffic directly into cytosol from endosomal membranes.
SubAB is unique because A and B subunits are necessary for the inhibition of protein synthesis both in vivo and in vitro. SubA alone did not inhibit protein synthesis in vivo (Fig. 6) and did not cause cell damage. SubA delivery into cells using Chariot (Active Motif) also failed to induce cytotoxicity (data not shown), suggesting that SubB is necessary not only to internalize SubA into cells but perhaps also to stabilize SubA activity; alternatively, SubB may be necessary for SubA to interact with its target protein or SubA may not be freely accessible to the target protein without SubB.
Subtilases are a superfamily of subtilisin-like serine proteases produced by archaea, bacteria, fungi, yeast, and higher eukaryotes. They are quite common in gram-positive bacteria (e.g., Bacillus species) (25, 32). They have highly similar arrangements of His, Asp, and Ser residues, which form a catalytic triad. SubA has a putative catalytic triad, and serine replacement with alanine in the triad resulted in the loss of protein synthesis inhibitory activity. We tried to detect the protease activity of the toxin using azocasein and some synthetic peptides. However, we failed to find a substrate for this toxin. Serine protease inhibitors, phenylmethylsulfonyl fluoride, aprotinin, and leupeptin, did not block the effects of SubAB on protein synthesis (data not shown). We are trying to determine whether this toxin can digest proteins in microsomal or cytosolic fractions. However, no differences in proteins were found between the samples with and those without toxin. If SubA digestion cleaves only a small peptide from the target protein or if the protein was present at low concentrations, it might be difficult to detect the difference. Paton et al. also examined the protease activity of SubAB using collagen or fibronectin, but the toxin did not cleave them (23). They showed that all three of the amino acids in the catalytic triad were important for the cytotoxic activity, so SubAB might be a subtilase-like serine protease. Based on our data, SubA proteolytic activity might have a very limited substrate specificity.
The authors thank I. Kato for useful discussions and critical review of the manuscript. We thank K. Okamoto, Okayama University, for his advice on the assay of protease activity. We thank S. Yamazaki, Osaka Prefecture University, for the supply of Stx-producing strains. We thank R. Komine and A. Kiuchi for technical assistance.
Published ahead of print on 13 November 2006. ![]()
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