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Infection and Immunity, May 2007, p. 2208-2213, Vol. 75, No. 5
0019-9567/07/$08.00+0 doi:10.1128/IAI.01829-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
The Escherichia coli Enterotoxin STb Permeabilizes Piglet Jejunal Brush Border Membrane Vesicles
Carina Gonçalves,1
Vincent Vachon,2
Jean-Louis Schwartz,2 and
J. Daniel Dubreuil1*
Groupe de Recherche sur les Maladies Infectieuses du Porc, Département de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, Quebec J2S 7C6,1
Groupe d'Étude des Protéines Membranaires, Université de Montréal, Montreal, Quebec H3C 3J7, Canada2
Received 17 November 2006/
Returned for modification 2 January 2007/
Accepted 12 February 2007

ABSTRACT
The membrane-permeabilizing ability of the
Escherichia coli enterotoxin STb was evaluated using brush border membrane vesicles
isolated from piglet jejunum and a membrane-potential-sensitive
fluorescent probe, 3,3'-dipropylthiadicarbocyanine iodide. A
strong membrane potential was generated by the efflux of K
+ ions from the vesicles in the presence of the potassium ionophore
valinomycin. Under these conditions, preincubation of the vesicles
with STb efficiently depolarized the membrane in a dose-dependent
and saturable manner. This activity was independent of pH, however,
at least between pH 5.5 and 8.0. On the other hand, in the absence
of valinomycin, STb had no significant influence on the measured
fluorescence levels, indicating that it was unable to modify
the ionic selectivity of the intact membrane. In agreement with
the fact that the integrity of the disulfide bridges of STb
is known to be essential for its biological activity, a reduced
and alkylated form of the toxin was unable to depolarize the
membrane in the presence of valinomycin. Furthermore, two previously
described poorly active STb mutants, M42S and K22A-K23A, showed
no membrane-permeabilizing capacity. These results demonstrate
for the first time that STb can permeabilize its target membrane
and suggest that it does so by forming nonspecific pores.

INTRODUCTION
Enterotoxigenic
Escherichia coli strains cause severe diarrhea
in humans and animals. In large-scale farms, this disease brings
about significant losses in pig herds, mainly in newborn and
recently weaned animals (
29). Diarrhea depends on the production
of a variety of toxins belonging to two different groups, the
heat-labile toxins (LTI and LTII) and the heat-stable toxins
(STa and STb). The heat-stable enterotoxins share no homology
and appear to differ in their mechanisms of action (
11,
12).
STb is synthesized as a 71-amino-acid precursor that undergoes
cleavage of its signal sequence of 23 residues (
24). A nuclear
magnetic resonance study revealed that STb is composed of two
antiparallel

-helices connected by a glycine-rich loop (
39).
Its tertiary structure is stabilized by two disulfide bridges
(Cys10-Cys48 and Cys21-Cys36) (
9), and both bridges are necessary
for secretion and toxicity (
2,
9,
30).
Until now, the interaction of STb with the intestinal epithelium has not been studied in detail. An acidic glycosphingolipid, sulfatide [Gal(3-SO4)ß1Cer], has nevertheless been identified as a functional receptor for STb at the level of the luminal surface of pig jejunal epithelial cells (34). The fact that this toxin is composed of an amphipathic (Cys10-Lys22) and a hydrophobic (Gly38-Ala44)
-helix suggests that it could possibly insert into the cell membrane and form a pore. This possibility is further suggested by our recent demonstration that STb undergoes oligomerization in vitro (26), a process that constitutes a well-documented characteristic of many pore-forming bacterial toxins (1) and antimicrobial peptides (44).
In the present study, the ability of STb to permeabilize brush border membrane vesicles isolated from piglet jejunum was demonstrated by using a fluorescent membrane potential-sensitive probe, 3,3'-dipropylthiadicarbocyanine iodide [diS-C3(5)], and a procedure that was recently developed to study the properties of bacterial pore-forming toxins in membrane vesicles (23).

MATERIALS AND METHODS
Purification of STb.
Unless specified otherwise, all chemicals were from the Sigma
Chemical Co. (Oakville, Ontario, Canada). The method used to
prepare wild-type and mutated (M42S and K22A-K23A) (
25) STb
toxins was modified from a previously described protocol (
7).
An
E. coli HB101 strain harboring the plasmid pMal-STb, which
is responsible for the expression of a maltose-binding protein-mature
STb fusion protein, with or without the selected mutation, was
grown in Luria broth containing 50 µg of ampicillin/ml
until the optical density at 600 nm (OD
600) reached 0.5. Then,
0.3 mM IPTG (isopropyl-ß-
D-thiogalactopyranoside)
was added to induce the synthesis of the fusion protein. Three
hours after induction, cells were harvested by centrifugation
at 4,000
x g for 10 min at 4°C. The pellet was gently resuspended
in 500 ml of 30 mM Tris-HCl (pH 8.0) containing 20% (wt/vol)
sucrose and 1 mM EDTA. After centrifugation at 8,000
x g for
10 min at 4°C, the cells were resuspended in 500 ml of 5
mM MgSO
4 and incubated at 4°C for 10 min. After centrifugation
at 8,000
x g for 10 min at 4°C, the fusion protein was affinity
purified from the supernatant representing the osmotic shock
fluid by using an amylose resin (New England Biolabs, Pickering,
Ontario, Canada). The amylose-purified fusion protein was dialyzed
against Xa buffer (50 mM Tris-HCl [pH 7.5], 100 mM NaCl, 1 mM
CaCl
2) and then cleaved with protease factor Xa (GE Healthcare,
Baie d'Urfé, Quebec, Canada). The cleaved material was
loaded onto a C
8 reversed-phase microbore column (Applied Biosystems,
Foster City, CA) using an Ákta Purifier10 system (GE
Healthcare) and eluted with a linear gradient of acetonitrile
(5 to 100%) in a water solution containing 0.1% trifluoroacetic
acid. Wild-type and mutant STb preparations were quantified
at 214 nm using aprotinin as the reference. The purified STb
toxin was lyophilized and kept at 20°C until use.
The identity and purity of the toxin was verified by N-terminal
sequence analysis using Edman degradation (Model 494 CLC Procise
Sequencer; Applied Biosystems) as described earlier (
28).
Preparation of reduced and alkylated STb.
Purified STb toxin was modified by reduction and alkylation with the method described by William et al. (42). Briefly, STb was reduced with 45 mM dithiothreitol in 100 mM NH4HCO3 at 60°C for 30 min and alkylated with 100 mM iodoacetamide in 100 mM NH4HCO3 for 30 min at room temperature in the dark. The reduced and alkylated STb toxin was dialyzed (membrane cutoff of 3.5 kDa) against 50 mM NH4HCO3 (pH 8.5) for 2 h and against water for another 2 h.
Preparation of brush border membrane vesicles.
Four-week-old weaned piglets from a conventional herd were obtained from a local producer. The animals were killed the day they arrived at the university. In the meantime, the piglets were cared for in accordance with the Guidelines of the Canadian Council for Animal Care. They were sedated by intramuscular injection of a mixture of 10 mg of ketamine hydrochloride (Biomeda-MTC, Cambridge, Ontario, Canada) per kg of body weight and 20 mg of xylazine (Bayer, Toronto, Ontario, Canada) per kg of body weight. Euthanasia was carried out by an intracardiac injection of 540 mg of sodium pentobarbital (Pharmacy, Faculté de médecine vétérinaire, Saint-Hyacinthe)/ml, and 30 cm of jejunum was recovered, rinsed thoroughly with ice-cold physiological buffer, and stored at 80°C until use.
Brush border membrane vesicles were prepared with a modification of the MgCl2-precipitation method (18). All manipulations were carried out on ice or in a centrifuge refrigerated at 4°C. Frozen jejunum segments were thawed and scraped by using a spatula, weighed, and homogenized in 50 mM mannitol-5 mM EGTA-2 mM Tris-HCl (pH 7.0) (20 ml for each g of tissue). The mixture was stirred for 10 min after the addition of MgCl2 to a final concentration of 10 mM and centrifuged at 7,700 x g for 15 min. The supernatant was centrifuged for 30 min at 20,000 x g. The pellet was resuspended in 250 mM KCl-125 mM mannitol-0.1 mM MgSO4-50 mM Tris-HEPES (pH 7.5). The preparation was then centrifuged for 15 min at 1,900 x g, and the resulting supernatant was centrifuged for 15 min at 30,900 x g. The final membrane preparation was resuspended in 250 mM KCl-0.1 mM MgSO4-50 mM MES (morpholineethanesulfonic acid)-Tris (pH 5.8) and stored at 80°C until use. In preparation for the experiments, the vesicles were diluted to 2.0 mg of protein/ml with this same solution.
Protein concentrations were estimated by using a BCA protein assay kit (Pierce Biotechnology, Rockford, IL) and bovine serum albumin as the standard. Leucine aminopeptidase activity, assayed with L-leucine p-nitroanilide as the substrate (16), was enriched 10-fold (±1; average of seven independent preparations) relative to the epithelium homogenate.
Fluorescence measurements.
The membrane-permeabilizing effects of STb were monitored with a membrane potential-sensitive fluorescent probe, diS-C3(5) (Molecular Probes, Eugene, OR) (23). Experiments were carried out at room temperature in polystyrene cuvettes containing 1.5 µM diS-C3(5), from a 1 mM stock solution in dimethyl sulfoxide, in 2 ml of the appropriate buffer solution, using a Spex Fluorolog CM-3 spectrofluorometer (Jobin Yvon Horiba, Edison, NJ) at a frequency of 10 Hz, an excitation wavelength of 620 nm, and an emission wavelength of 670 nm. Before each experiment, the mixture was stirred for 10 min in the dark to allow fluorescence to reach a steady level (22, 36). Vesicles were preincubated for 15 min in the presence or absence of STb at room temperature. A few seconds after the beginning of the recording, vesicles were injected into the cuvette at a final concentration of 5 µg of protein/ml. In some experiments, 7.5 µM valinomycin was added to the cuvette from a 5 mM stock solution in ethanol. Fluorescence values were normalized relative to the level measured before addition of the vesicles. For each experimental condition tested, the fluorescence level was measured in the absence of a membrane potential by injecting vesicles into the same solution as that with which they were loaded.
Statistical analyses.
Unless specified otherwise, values presented in the text and figures are means ± the standard error of the mean (SEM). Statistical analyses were carried out by using the linear model of the SAS package (version 9.0; SAS Institute, Cary, NC). We also performed a priori contrasts to examine differences between levels of the different factors.

RESULTS AND DISCUSSION
Generation and reduction of a membrane potential in piglet jejunal brush border membrane vesicles.
The membrane-permeabilizing ability of STb was analyzed with
a fluorescence assay (
23) using diS-C
3(5), a membrane-potential-sensitive
probe (
40). In this assay, vesicles loaded with 250 mM KCl and
preincubated with or without STb were first injected in the
presence of the fluorescent probe and the potassium ionophore
valinomycin into cuvettes containing the same solution as that
with which they were loaded (Fig.
1). This procedure allowed
the measurement of the fluorescence level in the absence of
ionic gradients and therefore in the absence of a membrane potential.
The slight decrease in fluorescence was due to the association
of some of the fluorescent probe with the membrane vesicles.
Under these conditions, STb had no influence on the fluorescence
level attained after the injection, an indication that the toxin
does not interact directly with the probe. When vesicles were
injected into cuvettes in which the KCl solution was replaced
by an isotonic solution of
N-methyl-
D-glucamine hydrochloride,
fluorescence decreased to a much greater extent, a finding indicative
of the presence of an inside-negative membrane potential generated
by the preferential efflux of potassium ions induced by valinomycin.
The resulting concentration and aggregation of the positively
charged probe within the vesicles and their membranes caused
a strong quenching of the fluorescence (
33,
36,
41). The fact
that a strong membrane potential can be generated under these
conditions in the presence of valinomycin demonstrates that
the vesicles used in the present study were tightly sealed.
In the presence of STb, less quenching of the fluorescence signal,
indicative of a lower membrane potential, demonstrated an increased
permeability of the membrane to at least one of the other ions
present,
N-methyl-
D-glucamine and chloride.
Calibration of the fluorescence signal.
Relative fluorescence measured in the presence of valinomycin
varied as a sigmoid-like function of the logarithm of the intravesicular
and extravesicular potassium concentration ratio (Fig.
2). This
result deviates from the linear relationship predicted by the
Nernst equation, although a straight line can be fitted reasonably
well to the data for ratios of 1 to approximately 10. At higher
concentration ratios, however, the slope of the curve increases
sharply before starting to level off gradually as predicted
by the Goldman-Hodgkin-Katz equation which, in contrast with
the Nernst equation, takes into account the permeability of
the membrane to each of the ionic species present (
19). The
fact that the calibration curve is not linear indicates a complex
relationship between fluorescence, membrane permeability, and
membrane potential. Nonlinear relationships have nevertheless
been reported for experiments performed with diS-C
3(5) and other
cyanine dyes with lepidopteran insect larval midgut brush border
membrane vesicles (
23,
31) and various cell types (
8,
13,
22).
Interestingly, linear relationships were reported for experiments
performed with rabbit renal brush border membrane vesicles but,
in these studies, the potassium concentration ratio was only
varied from 1 to 10 (
6,
43).
Membrane-permeabilizing ability of STb.
The membrane potential generated by the diffusion of potassium
ion was analyzed in the presence of a variety of salt solutions
(Fig.
3). In the absence of valinomycin (Fig.
3A), similar fluorescence
levels were measured irrespective of the salt solution used.
This observation indicates the absence of a strong preferential
permeability of the vesicles for any of the ions tested. In
contrast, when a preferential permeability for potassium ions
was introduced by the addition of valinomycin, a strong membrane
potential was generated in the presence of every salt solution
except KCl and potassium gluconate (Fig.
3B). The latter two
solutions served as negative controls designed to allow fluorescence
levels to be measured in the absence of a potassium gradient.
Taken together, these results suggest that the vesicles were
largely impermeable to the ions tested, as should be expected
from the fact that the intestinal brush border membrane plays
a critical role in the absorption of various nutrients, a process
which is mediated by a variety of sodium gradient-dependent
cotransporters (
38).
Preincubating the vesicles with STb had little effect on the
fluorescence signal measured in the absence of valinomycin (Fig.
3A). However, this signal was quenched to a significantly lesser
extent when measured in the presence of both valinomycin and
a potassium ion gradient (Fig.
3B). Taken together, these results
indicate that STb permeabilizes efficiently the membrane for
other ions than potassium and thus reduces the potential generated
by the efflux of this ion. This depolarizing effect of STb was
observed for a variety of chloride salts of monovalent cations,
including sodium,
N-methyl-
D-glucamine, lithium, tetramethylammonium,
and tetraethylammonium, suggesting that, in the presence of
the toxin, the membrane discriminates poorly between different
cations. The fact that STb has little effect on the membrane
potential generated in the absence of valinomycin also suggests
that its effects on the membrane are poorly selective. The possibility
remains, however, that the lack of apparent selectivity for
cations could result from a strong selectivity for chloride
ions. This appears nevertheless unlikely since, according to
this hypothesis, an inside-positive membrane potential would
have been generated when KCl-loaded vesicles were diluted in
a solution of potassium gluconate, in the absence of valinomycin.
This situation, which could have been detected as an increased
fluorescence level (
6,
43) over that measured in the absence
of STb, was not observed in the experiments illustrated in Fig.
3A. These results therefore appear to be best explained by the
fact that STb permeabilizes the membrane in a nonselective manner,
possibly by the formation of poorly selective pores. This conclusion
is consistent with our recent observation that STb increases
the uptake of trypan blue by susceptible cells (
4).
Evidence for pore formation by STb.
To test the possibility that STb forms pores, its permeabilizing effect was measured in vesicles preincubated with various concentrations of the toxin and diluted in a solution of N-methyl-D-glucamine hydrochloride in the presence of valinomycin (Fig. 4). Fluorescence levels increased rapidly at the lower STb concentrations but soon leveled off as the toxin concentration was further increased. The data presented in Fig. 4 were well fitted with the Michaelis-Menten equation, with relative fluorescence levels reaching a plateau at 0.81 ± 0.01 and an apparent half-saturation constant of 1.8 ± 0.4 nmol STb/mg membrane protein (corresponding to 1.1 ± 0.2 µM). This value matches reasonably well the earlier published estimates of 2 to 6 µM for the dissociation constant of STb binding to its receptor, sulfatide, obtained with an enzyme-linked immunosorbent assay (3).
The fact that a maximum level of fluorescence was reached as
the concentration of STb was increased indicates that its permeabilizing
effect is probably not attributable to a membrane-destabilizing
detergent-like effect but depends on its interaction with its
receptor. These considerations suggest that the permeabilizing
activity of STb could result from the formation of a pore-like
structure within the membrane (
5). This conclusion is supported
by the results of a preliminary study suggesting that STb can
form ion channels in planar lipid bilayers (V. Labrie, L. Potvin,
J. Harel, J. D. Dubreuil, and J.-L. Schwartz, unpublished data).
The receptor appears to act by facilitating the insertion of
STb and the formation of pores within the membrane, thus increasing
its permeability. However, because the experiments performed
here measure the permeability resulting from the accumulation
of new pores during the 15-min incubation period rather than
the rate of pore formation, the observation of a plateau in
the fluorescence levels suggests that sulfatide does not simply
catalyze the insertion of toxin molecules in the membrane but
remains associated in some way with STb molecules rather than
becoming available for binding new toxin molecules once the
insertion has been completed.
Lack of effect of pH on the membrane-permeabilizing ability of STb.
Because somewhat contrasting results have been published regarding the effect of pH on the binding of STb to the piglet jejunal luminal membrane (35) and to its receptor (3), vesicles incubated in the presence or absence of toxin were injected in solutions of KCl or N-methyl-D-glucamine hydrochloride at various pH values ranging from 5.5 to 8.0 in the presence of valinomycin (Fig. 5). This range comprises the pH values reported for the jejunal contents of piglets, 2 weeks after weaning (pH 5.5 to 7.0) (37). Fluorescence levels were not affected significantly by pH in the absence of a membrane potential. However, in the N-methyl-D-glucamine hydrochloride solution, both in the presence and in the absence of STb, fluorescence levels decreased gradually as pH was increased. This result is consistent with earlier studies indicating that, although the fluorescence of diS-C3(5) is independent of pH in solution, it is strongly pH dependent in the presence of cells or cell membranes (13, 21, 23, 41). The pattern illustrated in Fig. 5 can be simply explained by the fact that, as pH is increased, an increasing number of amino groups belonging to membrane proteins lose their charge, thus rendering the membrane more negatively charged and causing an increase in the number of positively charged probe molecules interacting with the vesicles.
For all pH values tested, fluorescence levels were higher in
the presence of STb than in its absence (Fig.
5). However, the
difference between the levels measured, at each pH value, in
the presence of the toxin and in its absence was not significantly
altered. The absence of an apparent effect of pH on membrane
permeabilization by STb is consistent with the results of a
previous study in which the binding of STb to its sulfatide
receptor was observed to be pH independent (
3). On the other
hand, it is difficult to reconcile our data with the results
of another study in which a sharp peak in the ability of STb
to bind to piglet jejunal epithelial tissue was observed between
pH 5.0 and 7.0 (
35). It should be pointed out, however, that
the three techniques used for this comparison differ substantially,
a situation that may contribute to the observed differences.
Only functional STb displays a membrane-permeabilizing ability.
The membrane-depolarizing capacity of STb was compared to those of three inactive forms of the toxin (Fig. 6). STb in which disulfide bonds have been chemically removed by reduction and alkylation has long been shown to be nonactive (9). Similarly, the single mutant M42S and the double mutant K22A-K23A have been shown to bind poorly to sulfatide and to be poorly active in the ligated rat jejunal loop assay (25). In contrast to intact STb, none of the three inactive forms of the toxin was able to increase the fluorescence level above that measured in the absence of toxin, even when they were added at twice the concentration used for STb (Fig. 6). The ability of STb to depolarize the brush border membrane therefore correlates well with its enterotoxicity.
Role of membrane permeabilization in the toxicity of STb.
The results of the present study clearly demonstrate the ability
of STb to increase the permeability of its target membrane.
On the other hand, STb has recently been shown to be internalized
within rat intestinal epithelial cells (
27). The demonstration
of this increase in membrane permeability may therefore have
been facilitated by the fact that the endocytotic machinery
of the cell is absent from the isolated membrane vesicles used
in the present study. This finding raises the question, however,
of the role of membrane permeabilization in diarrhea and of
its relation with a number of cellular events that have been
identified as resulting directly from the interaction of STb
with the cell membrane. For instance, STb has been reported
to open GTP-binding protein-dependent calcium channels in the
plasma membrane (
10). The resulting increase in the cytosolic
calcium level may regulate phospholipases A
2 and C, which catalyze
the release of arachidonic acid from membrane phospholipids,
and finally the formation of a secretory agent, prostaglandin
E
2 (
14,
17,
20,
32). Elevated intracellular calcium levels also
appear to be involved in the activation of a calmodulin-dependent
protein kinase II (
15). Among other things, it remains to be
understood how the signal constituted by the binding of STb
to its sulfatide receptor, a membrane lipid, can be transmitted
to the intracellular metabolic machinery. The formation of pores
within the plasma membrane, or the membrane disturbance caused
by their presence, may possibly constitute a signaling event
contributing to trigger the induction of the mechanisms of fluid
secretion associated with diarrhea.

ACKNOWLEDGMENTS
We gratefully acknowledge the contribution of the following
coworkers from the Faculté de Médecine Vétérinaire,
Saint-Hyacinthe, Quebec, Canada: John M. Fairbrother and Francis
Girard for providing piglet jejunal tissue and Guy Beauchamp
for help with the statistical analyses.
This study was supported by Natural Sciences and Engineering Research Council research grant 139070-01 to J.D.D., by a Fonds de la Recherche en Santé du Québec research group grant to J.-L.S., and by the Groupe d'Étude des Protéines Membranaires (grant 5252).

FOOTNOTES
* Corresponding author. Mailing address: Groupe de Recherche sur les Maladies Infectieuses du Porc, Département de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, 3200 Sicotte Street, Saint-Hyacinthe, Quebec J2S 7C6, Canada. Phone: (450) 773-8521, ext. 18433. Fax: (450) 778-8108. E-mail:
daniel.dubreuil{at}umontreal.ca 
Published ahead of print on 16 February 2007. 
Editor: J. F. Urban, Jr.

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Infection and Immunity, May 2007, p. 2208-2213, Vol. 75, No. 5
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