PMID- 37855658 OWN - NLM STAT- MEDLINE DCOM- 20240202 LR - 20240203 IS - 1674-8018 (Electronic) IS - 1674-800X (Print) IS - 1674-800X (Linking) VI - 15 IP - 2 DP - 2024 Feb 1 TI - Anthrax lethal toxin and tumor necrosis factor-alpha synergize on intestinal epithelia to induce mouse death. PG - 135-148 LID - 10.1093/procel/pwad050 [doi] AB - Bacillus anthracis lethal toxin (LT) is a determinant of lethal anthrax. Its function in myeloid cells is required for bacterial dissemination, and LT itself can directly trigger dysfunction of the cardiovascular system. The interplay between LT and the host responses is important in the pathogenesis, but our knowledge on this interplay remains limited. Tumor necrosis factor-alpha (TNF-alpha) is a pleiotropic pro-inflammatory cytokine induced by bacterial infections. Since LT accumulates and cytokines, predominantly TNF, amass during B. anthracis infection, co-treatment of TNF + LT in mice was used to mimic in vivo conditions for LT to function in inflamed hosts. Bone marrow transplantation and genetically engineered mice showed unexpectedly that the death of intestinal epithelial cells (IECs) rather than that of hematopoietic cells led to LT + TNF-induced lethality. Inhibition of p38alpha mitogen-activated protein kinase (MAPK) signaling by LT in IECs promoted TNF-induced apoptosis and necroptosis of IECs, leading to intestinal damage and mouse death. Consistently, p38alpha inhibition by LT enhanced TNF-mediated cell death in human colon epithelial HT-29 cells. As intestinal damage is one of the leading causes of lethality in anthrax patients, the IEC damage caused by LT + TNF would most likely be a mechanism underneath this clinical manifestation and could be a target for interventions. CI - (c) The Author(s) 2023. Published by Oxford University Press on behalf of Higher Education Press. FAU - Gao, Xinhe AU - Gao X AUID- ORCID: 0009-0004-4134-3306 AD - State Key Laboratory of Cellular Stress Biology, School of Life Sciences, Faculty of Medicine and Life Sciences, Xiamen University, Xiamen 361102, China. FAU - Teng, Teng AU - Teng T AUID- ORCID: 0009-0002-7599-7231 AD - State Key Laboratory of Cellular Stress Biology, School of Life Sciences, Faculty of Medicine and Life Sciences, Xiamen University, Xiamen 361102, China. FAU - Liu, Yifei AU - Liu Y AUID- ORCID: 0000-0002-7684-3923 AD - State Key Laboratory of Cellular Stress Biology, School of Life Sciences, Faculty of Medicine and Life Sciences, Xiamen University, Xiamen 361102, China. FAU - Ai, Tingting AU - Ai T AD - State Key Laboratory of Cellular Stress Biology, School of Life Sciences, Faculty of Medicine and Life Sciences, Xiamen University, Xiamen 361102, China. FAU - Zhao, Rui AU - Zhao R AD - State Key Laboratory of Cellular Stress Biology, School of Life Sciences, Faculty of Medicine and Life Sciences, Xiamen University, Xiamen 361102, China. FAU - Fu, Yilong AU - Fu Y AUID- ORCID: 0000-0002-2880-177X AD - State Key Laboratory of Cellular Stress Biology, School of Life Sciences, Faculty of Medicine and Life Sciences, Xiamen University, Xiamen 361102, China. FAU - Zhang, Peipei AU - Zhang P AUID- ORCID: 0000-0001-9234-5556 AD - State Key Laboratory of Cellular Stress Biology, School of Life Sciences, Faculty of Medicine and Life Sciences, Xiamen University, Xiamen 361102, China. FAU - Han, Jiahuai AU - Han J AUID- ORCID: 0000-0001-5592-4487 AD - State Key Laboratory of Cellular Stress Biology, School of Life Sciences, Faculty of Medicine and Life Sciences, Xiamen University, Xiamen 361102, China. AD - Research Unit of Cellular Stress of CAMS, Xiang'an Hospital of Xiamen University, Cancer Research Center of Xiamen University, School of Medicine, Faculty of Medicine and Life Sciences, Xiamen University, Xiamen 361102, China. AD - Laboratory Animal Center, Faculty of Medicine and Life Sciences, Xiamen University, Xiamen 361102, China. FAU - Zhang, Yingying AU - Zhang Y AUID- ORCID: 0000-0003-0936-7776 AD - State Key Laboratory of Cellular Stress Biology, School of Life Sciences, Faculty of Medicine and Life Sciences, Xiamen University, Xiamen 361102, China. LA - eng GR - 82388201/National Natural Science Foundation of China/ GR - 2020YFA0803500/National Key R&D Program of China/ GR - 2019-I2M-5-062/CAMS Innovation Fund for Medical Sciences/ PT - Journal Article PL - Germany TA - Protein Cell JT - Protein & cell JID - 101532368 RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (Cytokines) SB - IM MH - Humans MH - Animals MH - Mice MH - Tumor Necrosis Factor-alpha MH - *Anthrax/microbiology/pathology MH - *Bacillus anthracis MH - Cytokines MH - Signal Transduction PMC - PMC10833652 OTO - NOTNLM OT - TNF OT - cell death OT - intestinal epithelial cell OT - lethal toxin OT - p38alpha COIS- All authors declare no competing interests in this paper. EDAT- 2023/10/19 12:45 MHDA- 2024/02/02 06:42 PMCR- 2023/10/19 CRDT- 2023/10/19 09:33 PHST- 2023/08/16 00:00 [received] PHST- 2023/09/26 00:00 [accepted] PHST- 2024/02/02 06:42 [medline] PHST- 2023/10/19 12:45 [pubmed] PHST- 2023/10/19 09:33 [entrez] PHST- 2023/10/19 00:00 [pmc-release] AID - 7321984 [pii] AID - pwad050 [pii] AID - 10.1093/procel/pwad050 [doi] PST - ppublish SO - Protein Cell. 2024 Feb 1;15(2):135-148. doi: 10.1093/procel/pwad050.