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Mycolactone causes catastrophic Sec61-dependent loss of the endothelial glycocalyx and basement membrane: a new indirect mechanism driving tissue necrosis in Mycobacterium ulcerans infection.


ABSTRACT: The drivers of tissue necrosis in Mycobacterium ulcerans infection (Buruli ulcer disease) have historically been ascribed solely to the directly cytotoxic action of the diffusible exotoxin, mycolactone. However, its role in the clinically-evident vascular component of disease aetiology remains poorly explained. We have now dissected mycolactone's effects on primary vascular endothelial cells in vitro and in vivo. We show that mycolactone-induced changes in endothelial morphology, adhesion, migration, and permeability are dependent on its action at the Sec61 translocon. Unbiased quantitative proteomics identified a profound effect on proteoglycans, driven by rapid loss of type II transmembrane proteins of the Golgi, including enzymes required for glycosaminoglycan (GAG) synthesis, combined with a reduction in the core proteins themselves. Loss of the glycocalyx is likely to be of particular mechanistic importance, since knockdown of galactosyltransferase II (beta-1,3-galactotransferase 6; B3Galt6), the GAG linker-building enzyme, phenocopied the permeability and phenotypic changes induced by mycolactone. Additionally, mycolactone depleted many secreted basement membrane components and microvascular basement membranes were disrupted in vivo. Remarkably, exogenous addition of laminin-511 reduced endothelial cell rounding, restored cell attachment and reversed the defective migration caused by mycolactone. Hence supplementing mycolactone-depleted extracellular matrix may be a future therapeutic avenue, to improve wound healing rates.

SUBMITTER: Hsieh LT 

PROVIDER: S-EPMC9980099 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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Mycolactone causes destructive Sec61-dependent loss of the endothelial glycocalyx and vessel basement membrane: a new indirect mechanism driving tissue necrosis in <i>Mycobacterium ulcerans</i> infection.

Hsieh Louise Tzung-Harn LT   Hall Belinda S BS   Newcombe Jane J   Mendum Tom A TA   Santana-Varela Sonia S   Umrania Yagnesh Y   Deery Michael J MJ   Shi Wei Q WQ   Diaz-Delgado Josué J   Salguero Francisco J FJ   Simmonds Rachel E RE  

bioRxiv : the preprint server for biology 20241001


The drivers of tissue necrosis in <i>Mycobacterium ulcerans</i> infection (Buruli ulcer disease) have historically been ascribed solely to the directly cytotoxic action of the diffusible exotoxin, mycolactone. However, its role in the clinically-evident vascular component of disease aetiology remains poorly explained. We have now dissected mycolactone's effects on primary vascular endothelial cells <i>in vitro</i> and <i>in vivo</i>. We show that mycolactone-induced changes in endothelial morpho  ...[more]

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