Clostridium difficile toxin A is known to cause actin disaggregation through the enzymatic inactivation of intracellular Rho proteins. Based on the rapid and severe cell rounding of toxin A-exposed cells, we speculated that toxin A may be involved in post-translational modification of tubulin, leading to microtubule instability. In the current study, we observed that toxin A strongly reduced ␣-tubulin acetylation in human colonocytes and mouse intestine. Fractionation analysis demonstrated that toxin A-induced ␣-tubulin deacetylation yielded monomeric tubulin, indicating the presence of microtubule depolymerization. Inhibition of the glucosyltransferase activity against Rho proteins of toxin A by UDP-2,3-dialdehyde significantly abrogated toxin A-induced ␣-tubulin deacetylation. In colonocytes treated with trichostatin A (TSA), an inhibitor of the HDAC6 tubulin deacetylase, toxin A-induced ␣-tubulin deacetylation and loss of tight junction were completely blocked. Administration of TSA also attenuated proinflammatory cytokine production, mucosal damage, and epithelial cell apoptosis in mouse intestine exposed to toxin A. These results suggest that toxin A causes microtubule depolymerization by activation of HDAC6-mediated tubulin deacetylation. Indeed, blockage of HDAC6 by TSA markedly attenuates ␣-tubulin deacetylation, proinflammatory cytokine production, and mucosal damage in a toxin
A-induced mouse enteritis model. Tubulin deacetylation is an important component of the intestinal inflammatory cascade following toxin A-mediated Rho inactivation in vitro and in vivo.Clostridium difficile is the causative pathogen of antibioticassociated diarrhea and pseudomembranous colitis in humans and animals with a 10% symptomatic infection rate among hospitalized patients (1). Two toxins, A and B, released from C. difficile, are responsible for the massive fluid secretion, apoptosis of surface colonocytes, and acute enteritis seen during infection. The two exotoxins, which share ϳ63% amino acid homology, have glucosyltransferase activity (2-4) that inactivates Rho family proteins, leading to actin disaggregation (5, 6). Monoglucosylation of Rho, Rac, and Cdc42 by toxin A at threonine 37 prevents Rho family proteins from participating in the formation of actin filaments (7). This mechanism is believed to be a main cause for the cell rounding that is characteristic of toxinexposed cells (6,8). However, despite the presence of a rapid and severe change in the shape of infected cells, the effect of toxin A on the post-translational modification of tubulin and its subsequent influence on microtubule instability have not received detailed attention.Microtubule instability is critical to cell shape (9), cell movement (10), intracellular transport of organelles (11), and the separation of chromosomes during mitosis (12). This instability results in the continual and rapid turnover of microtubules, in a process that is crucial for cytoskeletal remodeling (9 -11). Because microtubules play a pivotal role in mitosis, drugs that infl...