PMID- 32378997 OWN - NLM STAT- MEDLINE DCOM- 20210930 LR - 20231101 IS - 1949-0984 (Electronic) IS - 1949-0976 (Print) IS - 1949-0976 (Linking) VI - 12 IP - 1 DP - 2020 Nov 9 TI - Phosphodiesterase 5 (PDE5) restricts intracellular cGMP accumulation during enterotoxigenic Escherichia coli infection. PG - 1752125 LID - 10.1080/19490976.2020.1752125 [doi] LID - 1752125 AB - Diarrhea caused by enterotoxigenic Escherichia coli (ETEC) has a continuing impact on residents and travelers in underdeveloped countries. Both heat-labile (LT) and heat-stable (ST) enterotoxins contribute to pathophysiology via induction of cyclic nucleotide synthesis, and previous investigations focused on intracellular signal transduction rather than possible intercellular second messenger signaling. We modeled ETEC infection in human jejunal enteroid/organoid monolayers (HEM) and evaluated cyclic nucleotide pools, finding that intracellular cAMP was significantly increased but also underwent apical export, whereas cGMP was minimally retained intracellularly and predominantly effluxed into the basolateral space. LT and virulence factors including EatA, EtpA, and CfaE promoted ST release and enhanced ST-stimulated cGMP production. Intracellular cGMP was regulated by MK-571-sensitive export in addition to degradation by phosphodiesterase 5. HEMs had limited ST-induced intracellular cGMP accumulation compared to T84 or Caco-2 models. Cyclic nucleotide export/degradation demonstrates additional complexity in the mechanism of ETEC infection and may redirect understanding of diarrheal onset. FAU - Foulke-Abel, Jennifer AU - Foulke-Abel J AUID- ORCID: 0000-0003-3882-5625 AD - Division of Gastroenterology & Hepatology, Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, MD, USA. FAU - Yu, Huimin AU - Yu H AD - Division of Gastroenterology & Hepatology, Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, MD, USA. FAU - Sunuwar, Laxmi AU - Sunuwar L AD - Division of Gastroenterology & Hepatology, Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, MD, USA. FAU - Lin, Ruxian AU - Lin R AD - Division of Gastroenterology & Hepatology, Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, MD, USA. FAU - Fleckenstein, James M AU - Fleckenstein JM AUID- ORCID: 0000-0002-1148-697X AD - Division of Infectious Diseases, Department of Medicine, Washington University School of Medicine , St. Louis, MO, USA. FAU - Kaper, James B AU - Kaper JB AD - Department of Microbiology & Immunology, University of Maryland School of Medicine , Baltimore, MD, USA. FAU - Donowitz, Mark AU - Donowitz M AD - Division of Gastroenterology & Hepatology, Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, MD, USA. LA - eng GR - R24 DK099803/DK/NIDDK NIH HHS/United States GR - P30 DK089502/DK/NIDDK NIH HHS/United States GR - R01 AI126887/AI/NIAID NIH HHS/United States GR - P01 AI125181/AI/NIAID NIH HHS/United States GR - I01 BX004825/BX/BLRD VA/United States GR - T32 DK007632/DK/NIDDK NIH HHS/United States GR - U18 TR000552/TR/NCATS NIH HHS/United States GR - R01 DK116352/DK/NIDDK NIH HHS/United States GR - UH3 TR000504/TR/NCATS NIH HHS/United States GR - R01 AI089894/AI/NIAID NIH HHS/United States GR - UH3 TR000503/TR/NCATS NIH HHS/United States GR - K01 DK113043/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20200507 PL - United States TA - Gut Microbes JT - Gut microbes JID - 101495343 RN - 0 (Bacterial Toxins) RN - 0 (CfaE protein, E coli) RN - 0 (Enterotoxins) RN - 0 (Escherichia coli Proteins) RN - 0 (EtpA protein, E coli) RN - 0 (Membrane Glycoproteins) RN - 0 (Propionates) RN - 0 (Quinolines) RN - 0 (Virulence Factors) RN - 0 (heat stable toxin (E coli)) RN - 147680-16-8 (Fimbriae Proteins) RN - 5Q9O54P0H7 (verlukast) RN - D9K3SN2LNY (heat-labile enterotoxin, E coli) RN - EC 3.1.4.35 (Cyclic Nucleotide Phosphodiesterases, Type 5) RN - EC 3.4.- (EatA protein, E coli) RN - EC 3.4.- (Peptide Hydrolases) RN - H2D2X058MU (Cyclic GMP) SB - IM MH - Bacterial Toxins/metabolism MH - Caco-2 Cells MH - Cell Line, Tumor MH - Cyclic GMP/*metabolism MH - Cyclic Nucleotide Phosphodiesterases, Type 5/*metabolism MH - Diarrhea/microbiology/pathology MH - Enterotoxigenic Escherichia coli/*metabolism MH - Enterotoxins/metabolism MH - Epithelial Cells/metabolism MH - Escherichia coli Infections/*pathology MH - Escherichia coli Proteins/metabolism MH - Fimbriae Proteins/metabolism MH - Humans MH - Jejunum/microbiology/*pathology MH - Membrane Glycoproteins/metabolism MH - Peptide Hydrolases/metabolism MH - Propionates/pharmacology MH - Quinolines/pharmacology MH - Virulence Factors/metabolism PMC - PMC7524150 OTO - NOTNLM OT - E. coli heat-labile enterotoxin OT - E. coli heat-stable enterotoxin OT - ETEC OT - MRP5 OT - PDE5 OT - cyclic nucleotide OT - enteroid monolayer OT - host-pathogen interaction OT - intestinal organoid EDAT- 2020/05/08 06:00 MHDA- 2021/10/01 06:00 PMCR- 2020/05/07 CRDT- 2020/05/08 06:00 PHST- 2020/05/08 06:00 [pubmed] PHST- 2021/10/01 06:00 [medline] PHST- 2020/05/08 06:00 [entrez] PHST- 2020/05/07 00:00 [pmc-release] AID - 1752125 [pii] AID - 10.1080/19490976.2020.1752125 [doi] PST - ppublish SO - Gut Microbes. 2020 Nov 9;12(1):1752125. doi: 10.1080/19490976.2020.1752125. Epub 2020 May 7.