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Infect. Immun., Jan 1998, 5-10, Vol 66, No. 1
H Leher, R Silvany, H Alizadeh, J Huang and JY Niederkorn
Acanthamoeba keratitis is a chronic inflammatory disease of the cornea
which is highly resistant to many antimicrobial agents. The pathogenic
mechanisms of this disease are poorly understood. However, it is believed
that the initial phases in the pathogenesis of Acanthamoeba keratitis
involve parasite binding and lysis of the corneal epithelium. These
processes were examined in vitro, using Acanthamoeba castellanii
trophozoites. Parasites readily adhered to Chinese hamster corneal
epithelial cells in vitro; however, parasite binding was strongly inhibited
by mannose but not by lactose. Although mannose prevented trophozoite
binding, it did not affect cytolysis of corneal epithelial cells. Moreover,
mannose treatment induced trophozoites to release cytolytic factors that
lysed corneal epithelial cells in vitro. These factors were uniquely
induced by mannose because supernatants collected from either untreated
trophozoites or trophozoites treated with other sugars failed to lyse
corneal cells. The soluble factors were size fractionated in centrifugal
concentrators and found to be > or = 100 kDa. Treatment of the
supernatants with the serine protease inhibitor phenylmethylsulfonyl
fluoride inhibited most, but not all, of the cytopathic activity. These
data suggest that the binding of Acanthamoeba to mannosylated proteins on
the corneal epithelium may exacerbate the pathogenic cascade by initiating
the release of cytolytic factors.
Copyright © 1998, American Society for Microbiology
Mannose induces the release of cytopathic factors from Acanthamoeba castellanii
Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas 75235-9057, USA.
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