Ganglioside GM, was isolated from the small intestinal mucosa of man, pig, and beef and amounted to 0.1, 2.0, and 43 nmol per g fresh weight, respectively.
By a double-dif'fusion precipitation-in-gel technique. isolated cholera toxin as well as its natural toxoid were shown to be fixed and precipitated by the ganglioside G., but not by any of the related glycolipids G
We used a whole-genome microarray screening system (Affymetrix human GeneChips covering 47,000 different transcripts) to examine the gene expression in duodenal mucosa during acute cholera. Biopsies were taken from the duodenal mucosa of seven cholera patients 2 and 30 days after the onset of diarrhea, and the gene expression patterns in the acute-and convalescent-phase samples were compared pairwise. Of about 21,000 transcripts expressed in the intestinal epithelium, 29 were defined as transcripts that were up-regulated and 33 were defined as transcripts that were down-regulated during acute cholera. The majority of the up-regulated genes characterized were found to have an established or possible role in the innate defense against infections; these genes included the LPLUNC1, LF, VCC1, TCN1, CD55, SERPINA3, MMP1, MMP3, IL1B, LCN2, SOCS3, GDF15, SLPI, CXCL13, and MUC1 genes. The results of confirmative PCR correlated well with the microarray data. An immunohistochemical analysis revealed increased expression of lactoferrin in lamina propria cells and increased expression of CD55 in epithelial cells, whereas increased expression of the SERPINA3 protein (␣ 1 -antichymotrypsin) was detected in both lamina propria and epithelial cells during acute cholera. The expression pattern of CD55 and SERPINA3 in cholera toxin (CT)-stimulated Caco-2 cells was the same as the pattern found in the intestinal mucosa during acute cholera, indicating that the activation of the CD55 and SERPINA3 genes in intestinal epithelium was induced by CT. In conclusion, during acute cholera infection, innate defense mechanisms are switched on to an extent not described previously. Both direct effects of CT on the epithelial cells and changes in the lamina propria cells contribute to this up-regulation.
S U M M A R YTwo types of subunit, with molecular weights estimated to be 28000 and 8000, were demonstrated in the cholera exo-enterotoxin by sodium dodecylsulphate polyacrylamide electrophoresis. The light (L) component but not the heavy (H) was demonstrable in the antigenically identical natural toxoid. A split of the H component by reduction and alkylation suggested it to be a disulphide-bridged dimer.Gel filtration at acid pH permitted separation of the H and L subunits in isolated form. Fractions with isolated subunits were non-toxic (skin test), in contrast to fractions with intermediate filtration rate containing both subunits.Fractions with a L: H ratio of about 3.5 were even more toxic than the intact toxin (L: H ratio about 2). Addition of the isolated subunits to toxic fractions generally caused inhibition and only exceptionally potentiation of toxicity.The data suggest that the cholera toxin might consist of an aggregate of seven L and one H subunits while the natural toxoid seems composed of only the aggregated L chains.
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