INTRODUCTION
Entamoeba histolytica, the protozoan parasite capable of invading the intestinal mucosa and spreading to other organs, mainly the liver, is a significant source of morbidity and mortality in developing countries (Haque et al. Reference Haque, Huston, Hughes, Houpt and Petri2003; World Health Organization, 2011).
In humans, invasion starts when trophozoites residing in the colon deplete the mucus, interact with vulnerable enterocytes, dismantle cell junctions, and lyse host cells. Once the epithelial layer is disrupted, amoebae cross the basal lamina and the extracellular matrix (ECM); this is a process involving parasite motility and cytotoxicity towards host cells by proteolytic activity and phagocytic capacity (Meza, Reference Meza2000). Some trophozoites, which reside in the colon, penetrate the portal system and follow the bloodstream to the hepatic portal venule and sinusoids (Tsutsumi et al. Reference Tsutsumi, Mena-Lopez and Martinez-Palomo1984). The latter are the main structures where amoebae cross the endothelium to reach the parenchyma, with a concomitant initiation of inflammatory foci and abscesses. The classical amoebic liver abscess (ALA) is due to necrotic lysis of the liver tissue, which varies in size from a few centimetres to a large lesion (Que and Reed, Reference Que and Reed2000; Labruyère and Guillén, Reference Labruyère and Guillén2006; Campos-Rodríguez et al. Reference Campos-Rodríguez, Jarillo-Luna, Larsen, Rivera-Aguilar and Ventura-Juárez2009; Santi-Roca et al. Reference Santi-Rocca, Rigothier and Guillén2009).
It is not yet clear what factors or signals, in virulent trophozoites, are particularly involved in tissue invasion; therefore, studies of signalling proteins and pathways may help us to understand the processes that may have an impact on the invasive disease. Recently, the protein kinome of E. histolytica has been described; however, the role of the identified kinases is unknown on this eukaryotic parasite (Loftus et al. Reference Loftus, Anderson, Davies, Alsmark, Samuelson, Amedeo, Roncaglia, Berriman, Hirt, Mann, Nozaki, Suh, Pop, Duchene, Ackers, Tannich, Leippe, Hofer, Bruchhaus, Willhoeft, Bhattacharya, Chillingworth, Churcher, Hance, Harris, Harris, Jagels, Moule, Mungall, Ormond, Squares, Whitehead, Quail, Rabbinowitsch, Norbertczak, Price, Wang, Guillén, Gilchrist, Stroup, Bhattacharya, Lohia, Foster, Sicheritz-Ponten, Weber, Singh, Mukherjee, El-Sayed, Petri, Clark, Embley, Barrell, Fraser and Hall2005; Anamika et al. Reference Anamika, Bhattacharya and Srinivasan2008).
Src and PI3 K kinases are two proteins implicated in cell adhesion, motility and invasion (Heinz et al. Reference Heinz-R., Chen-Kao, L-Guan, Lai and Chen1999; Thamilselvan et al. Reference Thamilselvan, Craig and Basson2007; Sanchez et al. Reference Sanchez, Flamini, Baldacci, Goglia, Riccardo-Genazzani and Simoncini2010). These processes are essential for E. histolytica invasiveness and, interestingly, these two kinases have also been described in this parasite; however, their function is poorly characterized. There is evidence that PI3 K signalling pathways regulate phagocytosis and migration in E. histolytica trophozoites (Batista and De Souza, Reference Batista and De Souza2004; Blazquez et al. Reference Blazquez, Guigon, Weber, Syan, Sismeiro, Coppée, Labruyère and Guillén2008). In the case of Src, only its presence has been reported on the protein kinome of E. histolytica by in silico analysis (Anamika et al. Reference Anamika, Bhattacharya and Srinivasan2008). Previous work in our laboratory described the involvement of Src during trophozoite adherence to fibronectin, suggesting a possible role for this protein in the parasitic adhesion process (Flores-Robles et al. Reference Flores-Robles, Rosales, Rosales-Encina and Talamás-Rohana2003).
In this work, we decided to study the effect of Wortmannin and Src-1-inhibitor on relevant amoebic virulence factors. Results show that both inhibitors affect amoebic motion by a direct effect on the structure of the actin cytoskeleton. The proteolytic activity was diminished by Wortmannin, but not by Src-inhibitor; however, the phagocytic capacity of the parasite was significantly diminished by Wortmannin and Src-inhibitor-1; finally, the in vivo virulence of E. histolytica was markedly reduced only by Wortmannin.
MATERIALS AND METHODS
Cells
Trophozoites of E. histolytica HM1-IMSS strain were axenically cultivated in TYI-S-33 medium (Diamond et al. Reference Diamond, Harlow and Cunnick1978), supplemented with 10% (v/v) bovine serum and 3% (v/v) Diamond vitamin Tween 80 solution (JRH Biosciences) for 48 h in glass screw cap tubes at 37 °C. After that cells were incubated on ice for 10 min, collected by centrifugation at 900 g for 10 min, and washed 3 times in TYI-S-33 medium without serum. These trophozoites were treated or not with Wortmannin (50 nM) or Src-inhibitor-1 (30 μM) for 2 h, then they were washed with TYI-S-33 medium without serum and cell viability was tested using Trypan blue exclusion test (in all experiments cell viability was >90%). Trophozoites treated or not with inhibitors were used to determine movement, proteolytic activity, phagocytic capacity and the ability to develop ALA in the hamster model for amoebiasis (Tsutsumi and Shibayama, Reference Tsutsumi and Shibayama2006).
Type O human erythrocytes (Rh+) were freshly obtained in Alsever's solutions, and washed 3 times in the same solution to remove white blood cells. The erythrocytes were counted and used in a 1:10 (trophozoites:erythrocytes) ratio in erythrophagocytosis assays.
Confocal microscopy and movement analysis
Trophozoites treated or not with the indicated inhibitors were fixed with freshly prepared 4% formaldehyde, permeabilized with 0·2% Triton X-100, and blocked with 10% BSA. Actin was stained with rhodamine-phalloidin (1:25, Molecular Probes; Oregon, USA) for 30 min at 37 °C. Coverslips were mounted with Vectashield (Vector Laboratories; Ontario, Canada) and actin-polymerized structures were analysed by confocal microscopy in an LSM 700 microscope (Carl Zeiss Micromagin GmbH, Carl Zeiss, Germany). Movement of live trophozoites was evaluated by Leica Kasertechnik GMB microscopy using the track object feature of the Image-Pro Plus 5.1 software (Media Cybernetics, Inc., Maryland, USA). Motion dynamics were measured by making frame-to-frame comparisons.
Substrate gel-electrophoresis
Substrate-gel electrophoresis using Heussen's method was followed as previously described (Heussen and Dowdle, Reference Heussen and Dowdle1980). Total extracts of proteins (10 μg) from both, treated or non-treated trophozoites, were resolved onto 12·5% sodium dodecyl sulfate (SDS)-polyacrylamide gels, co-polymerized with 0·4% porcine-skin gelatin (SIGMA-ALDRICH; St Louis, MO, USA) at 4 °C. Then the gels were washed once in 2·5% Triton X-100 and incubated in the same solution for 2 h, washed twice again in double-distilled water, and incubated for 12–16 h in activation buffer (0·1 M Tris-HCl, pH 7·0) at 37 °C. Gels were stained with Coomassie blue.
Fibronectin purification
Fibronectin (FN) was purified by a modification of the gelatin-Sepharose affinity chromatography method (Ruoslahti et al. Reference Ruoslahti, Hayman, Pierschbacher and Engvall1982) from fresh human blood collected in VD vacutainer tubes with 10·8 mg EDTA. Protein purity was monitored in 5% SDS discontinuous polyacrylamide gels. Purified FN was dialysed against 0·15 M NaCl, 0·05 M Tris-HCl, pH 7·4, and stored at −70 °C. Purified plasma FN was quantified using an extinction coefficient of 1·28 at 280 nm.
Fibronectin fibre disruption and degradation assay
Glass coverslips were coated with FN (100 μg/ml) and incubated for 12 h at room temperature under UV light to allow FN to adhere and form fibres. Trophozoites treated or not with inhibitors were allowed to attach and interact with FN-coated coverslips for 15 min. The adhered trophozoites were detached by incubation of coverslips on ice for 10 min; the slides were then washed, blocked with 10% BSA and incubated 1 h with an anti-FN antibody (1:100) at 37 °C, and then the slides were stained with anti-rabbit IgG H&L (FITC) secondary antibody (Invitrogen, NY, USA). Coverslips were mounted with Vectashield (Vector Laboratories). Finally, the slides were analysed by confocal microscopy.
Erythrophagocytosis
After treatment with inhibitors, trophozoites were washed in TYI-S-33 without bovine serum to eliminate drug residues. Then erythrocytes were added, and the interaction was carried out for 15 min at 37 °C in TYI-S-33 without bovine serum using a 1:10 amoeba-erythrocyte ratio. In order to stop erythrophagocytosis, cells were fixed with 2·5% glutaraldehyde and analysed by phase-contrast microscopy.
For a quantitative determination, non-fixed trophozoites were washed with Turk's solution, to eliminate non-ingested erythrocytes. Then the trophozoites were lysed with formic acid and the amount of haemoglobin was measured by spectrophotometric analysis at 400 nm.
Amoebic liver abscess formation
Male hamsters (Mesocricetus auratus) of approximately 80–100 g (3 animals per group) were intrahepatically infected (Tsutsumi et al. Reference Tsutsumi, Mena-Lopez and Martinez-Palomo1984) with 1·5 × 106 treated or non-treated trophozoites. Seven days p.i., animals were anaesthetized with sodium pentobarbital (94·5 mg/kg of body weight) and killed by exsanguination. Livers were dissected and weighed before and after removing the amoebic abscesses.
Statistical analysis
The significant difference between control and treated cells was statistically analysed by paired Student's t-test (p < 0·05). All statistical analyses were carried out using Stata software version 17.0.
RESULTS
Treatment with Src-inhibitor-1 and Wortmannin did not significantly affect parasite growth but did affect actin cytoskeleton rearrangement and amoebic movement of E. histolytica
In order to elucidate the effects of Src-inhibitor-1 and Wortmannin on parasite viability and growth capacity, non-treated trophozoites or trophozoites pre-treated for 2 h with inhibitors were grown for 12, 24, and 48 h in culture medium. As shown in Fig. 1, there were no statistically significant differences in the growth rate for up to 48 h between trophozoites treated with Src-inhibitor 1 and Wortmannin compared to untreated or DMSO-treated parasites.
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Fig. 1. Effects of Src-inhibitor-1 and Wortmannin on Entamoeba histolytica growth. Growth curves for untreated and Src-inhibitor-1 (30 μM) or Wortmannin (50 nM) or DMSO treated E. histolytica.
Re-organization of the actin cytoskeleton is the primary mechanism of cell motility and PI3 K and Src have been implicated in this process (Platek et al. Reference Platek, Mettlen, Camby, Kiss, Amyere and Courtoy2004; Li et al. 2005). Under normal conditions, E. histolytica trophozoites form diverse actin structures such as phagocytic invaginations, adhesion plates, actin dots in association with adhesion plates and stress fibres, pseudopodia, and occasionally the cortical actin belt (Talamás-Rohana and Rios, Reference Talamás-Rohana and Ríos2000). Figure 2 shows that in control and DMSO-treated trophozoites, most of these structures are present: a few phagocytic invaginations, adhesion plates, stress fibres and a few actin dots. Whereas in Src-inhibitor-1 treated trophozoites, the absence of several actin structures is evident, some cortical actin filaments, stress fibres, and the actin mesh-like structures remain. Moreover, the presence of spike-like structures can be observed. In the case of Wortmannin-treated trophozoites an accumulation of stress fibres at the zone of the actin ring that forms in dividing cells can be observed, and also the formation of pseudopodia. Other structures such as adhesion plates and phagocytic invaginations are missing (Fig. 2A). After determining affectation of the actin cytoskeleton, we then evaluated the movement with an Image-Pro Plus 5.1 software finding that amoebic movement was significantly reduced by Src-inhibitor and Wortmannin but not by DMSO (Fig. 2B).
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Fig. 2. Src-inhibitor-1 and Wortmannin affect the actin cytoskeleton re-arrangement and amoebic movement of Entamoeba histolytica. (A) Trophozoites treated or not with Src-inhibitor-1 (30 μM) or Wortmannin (50 nM) were fixed and stained with rhodamine-phalloidin and DAPI. (B) The movement of live trophozoites treated or not with inhibitors was evaluated as mentioned in the Materials and Methods section; colours for tracks were generated randomly, so every track has a different colour. Results are representative of 3 different experiments and the analysis represents the comparison of 500 frames.
Wortmannin but not Src-inhibitor-1 decreases the proteolytic activity of E. histolytica
Another essential virulence factor in E. histolytica is the proteolytic activity (Tillack et al. Reference Tillack, Biller, Irmer, Freitas, Gomes, Tannich and Bruchhaaus2007). Therefore, we decided to analyse the effect of these drugs on the proteolytic activity. Figure 3A shows that non-treated trophozoites or Src-1-inhibitor treated trophozoites had higher proteolytic activity; however, cells treated with Wortmannin showed a decreased proteolytic activity. To confirm that the inhibition of the proteolytic activity was specific, we tested another unrelated inhibitor, NS398, a specific cyclooxygenase 2 (COX-2) inhibitor dissolved in DMSO, finding that this treatment did not affect the proteolytic activity of the cells (data not shown).
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Fig. 3. Wortmannin decreases the proteolytic activity of Entamoeba histolytica. (A) Total extract of trophozoites treated (+) or not (-) with Src-inhibitor-1 (30 μM) or Wortmannin (50 nM) were resolved in a 12·5% substrate gel co-polymerized with gelatin. After incubation at 37 °C for 16 h to activate proteases, gels were stained with Coomassie blue. This result is representative of 3 independent experiments. (B) Visualization of degraded FN after 15-min incubation of FN-coated slides with live amoebae, and staining of FN with a polyclonal anti-FN antibody (1:100) and a second FITC-labelled antibody (1:1000).
Considering that collagen and FN are two ECM components that are usually degraded by E. histolytica trophozoites, we analysed the effect of drug treatment on FN fibre disruption and degradation. As shown in Fig. 3B, regions where cells were attached showed loss of FN fibre staining and black holes, due to degradation of FN by non-treated trophozoites or trophozoites treated with DMSO and Src-inhibitor-1; FN fibre degradation was substantially diminished in the case of Wortmannin-treated parasites. Furthermore, quantification of fluorescence intensity confirmed the degradation of FN, except when the parasites were treated with Wortmannin (data not shown). These results confirm that Wortmannin reduced the capacity of E. histolytica to degrade FN.
Src-inhibitor-1 and Wortmannin reduce erythrophagocytosis by E. histolytica
Erythrophagocytosis is considered to be indicative of amoebic virulence (Bhattacharya et al. Reference Bhattacharya, Bhattacharya and Petri2002). When the effect of these inhibitors on the erythrophagocytic capacity was analysed, spectrophotometric analysis of ingested haemoglobin showed that both Src and PI3 K inhibitors reduced the erythrophagocytosis by E. histolytica (Fig. 4B). As in the case of proteolytic activity, to confirm that erythrophagocytosis reduction was specific, we treated parasites with NS-398 and showed that this treatment did not affect the level of ingested haemoglobin. Similarly, by phase-contrast microscopy, we demonstrated that human erythrocytes could not be ingested by E. histolytica when trophozoites were treated with Src or PI3 K inhibitors, but not with NS-398, instead, erythrocytes accumulated on the surface membrane of Wortmannin or Src-inhibitor-1 treated parasites (Fig. 4A). These results also showed that Wortmannin had a more pronounced effect than Src-inhibitor-1.
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Fig. 4. Src-inhibitor-1 and Wortmannin reduce erythrophagocytosis by Entamoeba histolytica. Phase-contrast microscopy revealed that Src-inhibitor-1 and Wortmannin reduce erythrophagocytosis in live trophozoites of E. histolytica. (B) Quantitative analysis of ingested haemoglobin by E. histolytica was evaluated as mentioned in the Material and Methods section. The graphic shows data of 3 different experiments and represents the average±s.d. *P < 0·05.
Wortmannin but not Src-inhibitor-1 inhibits ALA development in hamsters
The most relevant marker of E. histolytica virulence is its capacity to produce liver abscesses in hamsters. Thereby we decided to evaluate the effectiveness of these kinase inhibitors on amoebic liver abscess development. Results showed that Wortmannin inhibited the amoebic liver abscess formation, whereas, Src-inhibitor-1 only reduced the damage compared with untreated or NS-398 treated trophozoites (Fig. 5). Liver abscesses produced with Src-1-inhibitor treated trophozoites were not as typical as those produced by non-treated amoebae; in the former case, lesions showed a more granulomatous appearance.
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Fig. 5. Wortmannin inhibits ALA development in hamsters. (A) Liver abscess development after 7 days post-infection with live trophozoites of Entamoeba histolytica treated or not with Src-inhibitor-1 (30 mM) or Wortmannin (50 nM) or 50 μm NS-398. (B) The graphic shows data of 3 different experiments and represent the average±s.d. (n = 9). *P < 0·05.
DISCUSSION
In this work, we evaluated the effectiveness of Wortmannin and Src-1-inhibitor on amoebic virulence factors. PI3 K is a lipid kinase that produces the intracellular second messengers phosphatidylinositol(3,4,5)P3 and phosphatidylinositol(3,4)P2, which are critical regulators of a wide variety of cellular processes, including cell migration (Vanhaesebroeck et al. Reference Vanhaesebroeck, Ali, Bilancio, Geering and Foukas2005; Hawkins and Stephens, Reference Hawkins and Stephens2007; Barberis and Hirsch, Reference Barberis and Hirsch2008). Accordingly, we detected that activity was reduced by Wortmannin in live trophozoites; however, when the actin cytoskeleton was visualized by confocal microscopy after phalloidin stain, it seemed that Wortmannin did not affect actin polymerization. These observations are in agreement with previous studies carried out in E. histolytica, where Wortmannin-treated parasites were able to produce lamelipodia and to form pseudopods (Batista and De Souza, Reference Batista and De Souza2004), but a reduction of amoebic movement was detected, such as occurs in the pancreatic line cell SW 1990 where Wortmannin downregulates cell motility (Teranishi et al. Reference Teranishi, Takahashi, Gao, Akamo, Takeyama, Manabe and Okamoto2009).
Src is a tyrosine kinase involved in a variety of biological processes that are associated with cytoskeletal re-organization (Haskell et al. Reference Haskell, Nickles, Agati, Su, Dukes and Parsons2001; Frame et al. Reference Frame, Fincham, Carragher and Wyke2002). In this work, it has been demonstrated that in E. histolytica, Src could be playing a role in amoebic activity and phagocytosis, because their inhibition disturbs re-arrangement of the actin cytoskeleton. This result agrees with another study carried out in rat-1 fibroblasts, where Src caused a profound remodelling of the cortical actin cytoskeleton (Platek et al. Reference Platek, Mettlen, Camby, Kiss, Amyere and Courtoy2004). Furthermore, Src-knockout fibroblasts exhibit impaired motility and spreading on plastic, which can be restored by transfection with an expression vector for normal, but non kinase-defective Src (Kaplan et al. Reference Kaplan, Swedlow, Morgan and Varmus1995).
Entamoeba histolytica possesses a large number of genes coding for proteolytic enzymes (Tillack et al. Reference Tillack, Biller, Irmer, Freitas, Gomes, Tannich and Bruchhaaus2007) that function during tissue invasion by degrading mucus and ECM. Here, we find that the proteolytic activity is reduced by Wortmannin but not by Src-inhibitor-1, this is in accordance with other reports which have demonstrated the role of PI3 K on the regulation of proteases (Ralston and Petri, Reference Ralston and Petri2011). FN is one of the major components of the ECM, and E. histolytica can degrade this component (Talamás-Rohana and Meza, Reference Talamás-Rohana and Meza1998) during the invasion process. For this reason, we investigated whether Wortmannin could reduce the FN degradation, and our results demonstrated that Wortmannin inhibited FN degradation; this is in agreement with a previous report where Wortmannin blocked FN degradation in human melanotic melanoma cells (Nakahara et al. Reference Nakahara, Otani, Sasaki, Miura, Takai and Kogo2003). Proteases have been suggested as attractive potential targets for treatment of amoebiasis; they are necessary for pathogenesis and this work strengthens this feature by the reduction of the in vivo virulence through the reduction of proteolytic activity.
The ability of E. histolytica to phagocytose red blood cells is in some way related to its pathogenic activity (Bhattacharya et al. Reference Bhattacharya, Bhattacharya and Petri2002). It has been demonstrated that PI3 K participates in the erythrophagocytosis process by E. histolytica (Ghosh and Samuelson, Reference Ghosh and Samuelson1997; Batista and De Souza, Reference Batista and De Souza2004), and our results support this idea. In relation to Src, this kinase is found in phagocytic cells and Src-deficient cells are less effective than the wild-type cells in mediating phagocytosis (Hunter et al. Reference Hunter, Huang, Indik and Schreiber1993). This agrees with our results; we found a remarkable reduction of phagocytic capacity when trophozoites were treated with Src-inhibitor-1, confirming a role for Src during phagocytosis by E. histolytica.
Finally, the virulence of E. histolytica is defined by their ability to generate ALA in animal models (Santi-Roca et al. Reference Santi-Rocca, Rigothier and Guillén2009). The main animal model used for the study of hepatic human amoebiasis is the hamster because it is a susceptible model and mimics the human disease (Tsutsumi et al. Reference Tsutsumi and Shibayama2006). In this study, we evaluated the effect of Src and PI3 K inhibitor treatment of parasites on their capacity to produce amoebic liver abscess. According to our results, Wortmannin inhibits this capacity, and this could be explained by the reduction of motility, and phagocytic and proteolytic capacities. However, Src-1-inhibitor did not prevent in vivo virulence. This result could be explained by the fact that Src-1-inhibitor did not diminish the proteolytic activity such as Wortmannin did. Eventually the motility and phagocytic capacities were reduced by Src-1-inhibitor. This could also explain the formation of a non-typical amoebic liver abscess, different from that formed with non-treated trophozoites.
In summary, we have demonstrated that both Src and PI3 K are essential components of critical amoebic functions such as cell movement, erythrophagocytosis and proteolytic activities, and the trophozoites’ ability to develop amoebic liver abscesses. Moreover, we have shown that PI3 K is a non-dispensable element in the virulence of E. histolytica. Finally, these results provide the basis for the development of new therapies for amoebiasis, based on the inhibition of specific kinases of E. histolytica.
ACKNOWLEDGEMENTS
The authors are grateful to Luz Elena Ramos Arellano for her assistance with statistical analysis, and Juan Carlos Osorio Trujillo, Lidia Baylón Pacheco and Belem De Luna Vergara for their technical assistance.
FINANCIAL SUPPPORT
This work was supported by CONACyT-México (grant number 104108). Luilli López-Contreras was a recipient of a CONACYT fellowship (211715).