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Am J Physiol Gastrointest Liver Physiol (June 25, 2009). doi:10.1152/ajpgi.00050.2009
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Submitted on February 9, 2009
Revised on June 19, 2009
Accepted on June 19, 2009

Enterohemorrhagic Escherichia coli suppresses inflammatory response to cytokines and its own toxin

Amy A Bellmeyer1, Cynthia Cotton1, Rajani Kanteti1, Athanasia Koutsouris1, V.K. Viswanathan2, and Gail Hecht1*

1 University of Illinois
2 University of Arizona

* To whom correspondence should be addressed. E-mail: gahecht{at}uic.edu.

Infection with the enteric pathogen enterohemorrhagic E. coli (EHEC) causes a variety of symptoms ranging from non-bloody diarrhea to more severe sequelae including hemorrhagic colitis, altered sensorium and seizures, and even life-threatening complications such as hemolytic uremic syndrome and thrombotic thrombocytopenic purpura. The more severe consequences of EHEC infection are attributable to the production of Shiga toxin (Stx) and its subsequent effects on the vasculature which expresses high levels of the Stx receptor, Gb3. Interestingly, the intestinal epithelium does not express Gb3. Despite the lack of Gb3 receptor expression, intestinal epithelial cells translocate Stx. The effect of Stx on intestinal epithelial cells is controversial with some studies demonstrating induction of inflammation and others not. This may be difficult to resolve because EHEC expresses both pro-inflammatory molecules, such as flagellin, and factor(s) that dampen the inflammatory response of epithelial cells. The goal of our study was to define the effect of Stx on the inflammatory response of intestinal epithelial cells and to determine if infection by EHEC modulates this response. Here we show that Stx is a potent inducer of the inflammatory response in intestinal epithelial cells and confirm that EHEC attenuates the induction of IL-8 by host-derived pro-inflammatory cytokines. More importantly, however, we show that infection with EHEC attenuates the inflammatory response by intestinal epithelial cells to its own toxin. We speculate that the ability of EHEC to dampen epithelial cell inflammatory responses to Stx and cytokines facilitates intestinal colonization.







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