title: Cloning of a virulence factor of Entamoeba histolytica. Pathogenic strains possess a unique cysteine proteinase gene.
abstract: Cysteine proteinases are hypothesized to be important virulence factors of Entamoeba histolytica, the causative agent of amebic dysentery and liver abscesses. The release of a histolytic cysteine proteinase from E. histolytica correlates with the pathogenicity of both axenic strains and recent clinical isolates as determined by clinical history of invasive disease, zymodeme analysis, and cytopathic effect. We now show that pathogenic isolates have a unique cysteine proteinase gene (ACP1). Two other cysteine proteinase genes (ACP2, ACP3) are 85% identical to each other and are present in both pathogenic and nonpathogenic isolates. ACP1 is only 35 and 45% identical in sequence to the two genes found in all isolates and is present on a distinct chromosome-size DNA fragment. Presence of the ACP1 gene correlates with increased proteinase expression and activity in pathogenic isolates as well as cytopathic effect on a fibroblast monolayer, an in vitro assay of virulence. Analysis of the predicted amino acid sequence of the ACP1 proteinase gene reveals homology with cysteine proteinases released by activated macrophages and invasive cancer cells, suggesting an evolutionarily conserved mechanism of tissue invasion. The observation that a histolytic cysteine proteinase gene is present only in pathogenic isolates of E. histolytica suggests that this aspect of virulence in amebiasis is genetically predetermined.
authors: Department of Pathology and Medicine, University of California, San Diego 92103-8416.
authors: S
authors: S
authors: Reed
authors: J
authors: J
authors: Bouvier
authors: A S
authors: AS
authors: Pollack
authors: J C
authors: JC
authors: Engel
authors: M
authors: M
authors: Brown
authors: K
authors: K
authors: Hirata
authors: X
authors: X
authors: Que
authors: A
authors: A
authors: Eakin
authors: P
authors: P
authors: Hagblom
authors: F
authors: F
authors: Gillin
mesh_terms: D000595:Amino Acid Sequence; D000818:Animals; D001483:Base Sequence; D015152:Blotting, Northern; D015139:Blotting, Southern; D003546:Cysteine Endopeptidases / Q000235:genetics*; D004748:Entamoeba histolytica / Q000201:enzymology* / Q000472:pathogenicity*; D005784:Gene Amplification; D006801:Humans; D008969:Molecular Sequence Data; D016133:Polymerase Chain Reaction; D014774:Virulence
chemical_list: D003546:Cysteine Endopeptidases