Anthrax lethal toxin (LeTx) is a virulence factor secreted byBacillus anthracis and has direct cytotoxic effects on most cells once released into the cytoplasm. The cytoplasmic delivery of the proteolytically active component of LeTx, lethal factor (LF), is carried out by the transporter component, protective antigen, which interacts with either of two known surface receptors known as anthrax toxin receptor (ANTXR) 1 and 2. We found that the cytoplasmic delivery of LF by ANTXR2 was mediated by cathepsin B (CTSB) and required lysosomal fusion with LeTxcontaining endosomes. Also, binding of protective antigen to ANXTR1 or -2 triggered autophagy, which facilitated the cytoplasmic delivery of ANTXR2-associated LF. We found that whereas cells treated with the membrane-permeable CTSB inhibitor CA074-Me-or CTSB-deficient cells had no defect in fusion of LC3-containing autophagic vacuoles with lysosomes, autophagic flux was significantly delayed. These results suggested that the ANTXR2-mediated cytoplasmic delivery of LF was enhanced by CTSB-dependent autophagic flux.
Anthrax lethal toxin (LeTx)2 and edema toxin are two key virulence factors secreted by Bacillus anthracis, the causative agent of anthrax (1, 2). LeTx and edema toxin are composed of lethal factor (LF) or edema factor (EF), respectively, and protective antigen (PA), which functions as a cytoplasmic transporter of LF or EF. These toxins are main contributors to the clinical manifestations of anthrax and are cytotoxic to host cells once delivered into the cytoplasm. EF is an adenylate cyclase that raises cAMP levels in cells (3). LF is a metalloproteinase that targets the N-terminal end of the mitogen-activated protein kinase kinase 1-7 (MEK1-7) (except MEK5) (4 -6) and in certain mouse cells induces pyronecrosis by activating NACHTleucine-rich repeat and pyrin domain-containing protein 1b (NALP1b) (7).Incorporation of LF or EF into the cytoplasm is initiated by the binding of PA to the host cell surface through interacting with either of two known receptors: anthrax receptor 1 (ANTXR1, also known as the tumor endothelial marker 8) (8) and ANTXR2 (also known as the capillary morphogenesis gene-2) (9). Both ANTXR1 and -2 are widely distributed in human tissues and share molecular and biochemical similarities in their extracellular PA interacting domains known as von Willebrand factor A or integrin-like inserted (I) domain (10), post-translational modifications such as palmitoylation and ubiquitination of cytoplasmic domains (11), and associations with the co-receptor lipoprotein receptor-related 6 molecule (12, 13). ANTXR1 and -2 are also distinct in that ANTXR1 is highly expressed in tumor endothelial and cancer cells, and ANTXR2 has a higher binding affinity to PA and requires a lower pH to form a transmembrane pore than ANTXR1 (10,14).After binding PA to either ANTXR, a furin-like surface protease then cleaves PA at the N-terminal end to release a 20-kDa soluble fragment, yielding membrane-associated 63-kDa PA (PA 63 ) that forms a ring-shape heptameric ...