Host parasitism byTrichomonas vaginalis colonizes the urogenital tract of humans, causing trichomonosis, the number one nonviral sexually transmitted disease worldwide. Despite an estimated 8 million new cases per year in the United States alone (53), this health disparities disease (48) remains poorly studied. T. vaginalis infection is associated with adverse health consequences to both men and women, including infertility (20, 46), atypical pelvic inflammatory disease (35), and increased human immunodeficiency virus transmission (24,49). Trichomonosis is also associated with preterm birth, low-birth-weight infants (16), predisposition to development of cervical neoplasia in women (51), and nongonococcal urethritis (9) and chronic prostatitis (10) in men. The complex interplay of trichomonad responses and that of the host cells during infection have not been investigated so far. Of the few reports concerning host-parasite interactions, one study showed that after short contact of trichomonads with host vaginal epithelial cells (VECs), but not HeLa cells, the parasite morphology is transformed from an ellipsoid to an amoeboid form (8), suggesting host-specific signaling of parasites. In addition, synthesis of all four adhesin proteins in the amoeboid forms bound to VECs was enhanced (8,22). In a separate study using different forms of parasites grown in culture flasks, ␣-actinin was shown to be overexpressed in amoeboid parasites compared to batch-cultured ellipsoid trichomonads (1).The transcriptional regulation of parasite genes in response to interactions with host cells using in vitro models has been studied in Neisseria meningitides (23), Porphyromonas gingivalis (25, 41), and Helicobacter pylori (26). Due to the lack of a good animal model system to study T. vaginalis pathogenesis, we have used an in vitro model of immortalized human VECs (22) in our present study. Because of the unavailability of genome sequence data at the time this study was initiated, we used the subtraction cDNA library approach to identify the transcriptional changes in gene expression during the initial step of T. vaginalis attachment to VECs. Differentially expressed gene profiling using cDNA subtraction has been an ideal tool in identifying novel genes and transcripts of low abundance (13). Our data identify numerous T. vaginalis genes that are upregulated upon contact, which was confirmed by semiquantitative reverse transcription-PCR (RT-PCR) and protein immunoblot analyses. We believe that functional analyses of up-regulated genes of both VECs, as done recently (29), and of the organisms after the adherence event will contribute to our understanding of the host-pathogen interrelationship and the elucidation of the mechanisms of pathogenesis.
MATERIALS AND METHODSParasites and host cells. T. vaginalis isolate T016 was grown in trypticase-yeast extract-maltose (TYM) medium supplemented with 10% serum at 37°C (19). For iron-replete parasites, TYM serum was supplemented with 200 M ferrous ammonium sulfate, and iron-depleted parasite...