PUBLICATION

Clostridium perfringens Epsilon Toxin Compromises the Blood-Brain Barrier in a Humanized Zebrafish Model

Authors
Adler, D., Linden, J.R., Shetty, S.V., Ma, Y., Bokori-Brown, M., Titball, R.W., Vartanian, T.
ID
ZDB-PUB-190429-7
Date
2019
Source
iScience   15: 39-54 (Journal)
Registered Authors
Keywords
Model Organism, Molecular Mechanism of Behavior, Pathogenic Organism, Vascular Remodeling
MeSH Terms
none
PubMed
31030181 Full text @ iScience
Abstract
Clostridium perfringens epsilon toxin (ETX) is hypothesized to mediate blood-brain barrier (BBB) permeability by binding to the myelin and lymphocyte protein (MAL) on the luminal surface of endothelial cells (ECs). However, the kinetics of this interaction and a general understanding of ETX's behavior in a live organism have yet to be appreciated. Here we investigate ETX binding and BBB breakdown in living Danio rerio (zebrafish). Wild-type zebrafish ECs do not bind ETX. When zebrafish ECs are engineered to express human MAL (hMAL), proETX binding occurs in a time-dependent manner. Injection of activated toxin in hMAL zebrafish initiates BBB leakage, hMAL downregulation, blood vessel stenosis, perivascular edema, and blood stasis. We propose a kinetic model of MAL-dependent ETX binding and neurovascular pathology. By generating a humanized zebrafish BBB model, this study contributes to our understanding of ETX-induced BBB permeability and strengthens the proposal that MAL is the ETX receptor.
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Human Disease / Model
Sequence Targeting Reagents
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