Characterization of Secreted Giardia Intestinalis Cysteine Proteases
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Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Science and Technology 1763 Characterization of secreted Giardia intestinalis cysteine proteases JINGYI LIU ACTA UNIVERSITATIS UPSALIENSIS ISSN 1651-6214 ISBN 978-91-513-0551-6 UPPSALA urn:nbn:se:uu:diva-372997 2019 Dissertation presented at Uppsala University to be publicly examined in A1:111a, Uppsala Biomedicinska Centrum BMC, Husarg. 3, Uppsala, Thursday, 28 February 2019 at 09:15 for the degree of Doctor of Philosophy. The examination will be conducted in English. Faculty examiner: Professor Andre Buret (University of Calgary). Abstract Liu, J. 2019. Characterization of secreted Giardia intestinalis cysteine proteases. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Science and Technology 1763. 72 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-513-0551-6. Giardia intestinalis, the causative agent of the diarrheal disease giardiasis, is a protozoan parasite that colonizes the upper small intestine of mammals, including humans. It can be divided into eight genotypes or assemblages (A through H) and only assemblage A and B are infective to humans. Giardiasis is a multi-factorial disease but few giardial virulence factors have been identified and characterized. In this thesis, we used proteomics to identify the major excretory-secretory products (ESPs) released by Giardia trophozoites of the WB and GS isolates during interaction with intestinal epithelial cells (IECs) in vitro (Paper I). To deepen our understanding of the role of ESPs in giardiasis, we focused on three specific secreted Giardia cysteine proteases (CPs; CP14019, CP16160 and CP16779). All the three CPs are capable of opening the apical junction complexes between IECs to degrade chemokines produced in response to Giardia (Paper II). This can partly explain the induction of symptoms and immunosuppression seen during giardiasis. We further studied the cleavage specificity of these CPs using substrate phage display and recombinant protein substrates. The preferred sequences were used to search potential human in vivo targets and a number of candidates were identified, including human immunoglobulins as well as defensins, that were subsequently shown to be efficiently cleaved by the CPs (Paper III). To investigate the involvement of CPs in mucus degradation, we tested the CPs on recombinant MUC2 constructs and full-length MUC2. MUC2 is the major component of the mucus layer in the small intestine. It was shown that CP14019 cleave MUC2 in the N-terminal, suggesting a mechanism that the parasite can use to disrupt/release the mucus gel network and get access to the intestinal epithelium of the host (Paper IV). In summary, this thesis has studied secreted Giardia CPs and their roles in Giardia infections, providing significant insights into the molecular pathogenesis of giardiasis. Keywords: Giardia intestinalis, ESPs, CPs, apical junction, chemokines, phage display, immunoglobulins, defensins, mucin. Jingyi Liu, Department of Cell and Molecular Biology, Microbiology, Box 596, Uppsala University, SE-75124 Uppsala, Sweden. © Jingyi Liu 2019 ISSN 1651-6214 ISBN 978-91-513-0551-6 urn:nbn:se:uu:diva-372997 (http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-372997) To my family List of Papers This thesis is based on the following papers, which are referred to in the text by their Roman numerals. I Ma'ayeh, S.Y., Liu, J., Peirasmaki, D., Hornaeus, K., Bergström Lind, S., Grabherr, M., Bergquist, J., and Svärd, S.G. (2017). Characterization of the Giardia intestinalis secretome during interaction with human intestinal epithelial cells: The impact on host cells. PLoS Negl Trop Dis, 11(12): e0006120. II Liu, J., Ma'ayeh, S., Peirasmaki, D., Lundström-Stadelmann, B., Hellman, L., and Svärd, S.G. (2018). Secreted Giardia intestinalis cysteine proteases disrupt intestinal epithelial cell junctional complexes and degrade chemokines. Virulence, 9(1): 879-894. III Liu, J., Fu, Z., Hellman, L., and Svärd, S.G (2018). Cleavage specificity of recombinant Giardia intestinalis cysteine proteas- es: Degradation of immunoglobulins and defensins. Mol Bio- chem Parasitol, 227: 29-38. IV Arike, L.*, Recktenwald, C.V.*, Liu, J., Trillo-Muyo, S., Svärd, S.G., Hansson, G.C (2019). MUC2 mucin is cleaved by Giardia intestinalis cysteine protease 14019. Manuscript *These authors contributed equally Reprints were made with permission from the respective publishers. Contents Introduction ................................................................................................... 11 Giardia ..................................................................................................... 11 Life cycle of Giardia ................................................................................ 12 The trophozoite .................................................................................... 13 Cell differentiation ............................................................................... 16 Giardiasis .................................................................................................. 17 Giardia pathogenesis ................................................................................ 17 Microvilli shortening, destruction, malabsorption ............................... 19 Intestinal barrier disruption .................................................................. 19 Intestinal microbiota ............................................................................ 21 Mucus layer ......................................................................................... 23 Host cytokine profile ........................................................................... 26 Virulence factors ...................................................................................... 27 Attachment ........................................................................................... 28 Antigenic variation .............................................................................. 29 ADI and OCT ...................................................................................... 30 Cysteine proteases ............................................................................... 31 Other factors ........................................................................................ 33 Current investigation ..................................................................................... 35 Secretome study of IECs-parasites interplay (Paper I) ............................. 35 Secreted Giardia CPs are key virulence factors (Papers II, III and IV) ... 37 Tight junction disruption and chemokine degradation (Paper II) ........ 37 Degradation of immunoglobulins and defensins (Paper III) ................ 40 Mucin degradation (Paper IV) ............................................................. 41 Conclusion and future perspectives .............................................................. 43 Cleavage specificity of other secreted Giardia CPs ................................. 43 Knockout study of Giardia CPs ............................................................... 44 CPs role in vaccines and as drug targets .................................................. 45 How are the activities of CPs regulated? .................................................. 45 Assemblage-specific differences of CPs .................................................. 46 Svensk sammanfattning ................................................................................ 47 Acknowledgements ....................................................................................... 49 References ..................................................................................................... 51 Abbreviations ADI Arginine deiminase AJ Adherence junction AME Arginine metabolizing enzyme AMP Antimicrobial peptide AP Adaptor protein ATP Adenosine triphosphate CCL (-2, -20) Chemokine with double cysteine (CC) N-terminal motif COP Coat protein CXCL (-1, -2, -3) Chemokine with CC motif separated by 1 amino acid CP Cysteine protease DC Dendritic cell EF-1α Elongation factor 1 alpha ER Endoplasmic reticulum ESP Excretory-secretory product FeS Iron-sulfur HCMP High-cysteine membrane protein IBS Irritable bowel syndrome IEC Intestinal epithelial cell Ig (-A, -G) Immunoglobulin A, G LC-MS Liquid chromatography-mass spectrometry MLCK Myosin light chain kinase MMP Matrix metalloprotease 7 NO Nitric oxide NOS Nitric oxide synthase OCT Ornithine carbamoyl transferase PV Peripheral vacuole SDS-PAGE Sodium dodecyl sulphate-polyacrylamide gel electro- phoresis TJ Tight junction VSP Variant-specific surface protein ZO Zonula occludens α-HD (-5,-6) α-defensin (-5,-6) β-HD1 β-defensin 1 Introduction Our understanding of Giardia’s pathogenesis is increasing, partially attribut- ed to the understanding of the effects of excretory-secretory products (ESPs) released by Giardia during host-parasite interactions. However, the under- standing is limited to effects induced by culture supernatants in most studies and the specific virulence factors have rarely been identified and character- ized. Proteases constitute a large proportion of the ESPs and secreted prote- ases have been suggested to be key players in the pathogenesis of many pro- tozoan parasitic diseases, including giardiasis. Giardia Giardia was initially described by van Leeuwenhoek in 1681 when he was examining his own diarrheal stools under his primitive microscope (Dobell, 1920). The organism was described in more detail by Lambl