Background: Acanthamoeba spp. are free-living amoeba that are ubiquitously distributed in the environment. This study examines pathogenic Acanthamoeba cysteine proteases (AcCPs) belonging to the cathepsin L-family and explores the mechanism of AcCP3 interaction with host cells.
Methods: Six AcCP genes were amplified by polymerase chain reaction (PCR). Quantitative real-time PCR was used to analyse the relative mRNA expression of AcCPs during the encystation process, and between pre- and post-reactivated trophozoites. To further verify the role of AcCP3 in these processes, AcCP3 recombinant proteins were expressed in Escherichia coli, and the hydrolytic activity of AcCP3 was determined. The influence of the AcCP3 on the hydrolytic activity of trophozoites and the toxicity of trophozoites to human corneal epithelial cells (HCECs) was examined by inhibiting AcCP3 expression using siRNA. Further, the levels of p-Raf and p-Erk were examined in HCECs following coculture with AcCP3 gene knockdown trophozoites by western blotting.
Results: During encystation, five out of six AcCPs exhibited decreased expression, and only AcCP6 was substantially up-regulated at the mRNA level, indicating that most AcCPs were not directly correlated to encystation. Further, six AcCPs exhibited increased expression level following trophozoite reactivation with HEp-2 cells, particularly AcCP3, indicating that these AcCPs might be virulent factors. After refolding of recombinant AcCP3 protein, the 27 kDa mature protein from the 34 kDa pro-protein hydrolysed host haemoglobin, collagen and albumin, and showed high activity in an acidic environment. After AcCP3 knockdown, the hydrolytic activity of trophozoite crude protein against gelatin was decreased, suggesting that these trophozoite had decreased toxicity. Compared with untreated trophozoites or negative control siRNA-treated trophozoites, AcCP3-knockdown trophozoites were less able to penetrate and damage monolayers of HCECs. Western blot analysis showed that the activation levels of the Ras/Raf/Erk/p53 signalling pathways in HCECs decreased after inhibiting the expression of trophozoite AcCP3.
Conclusions: AcCP6 was correlated to encystation. Further, AcCP3 was a virulent factor in trophozoites, and participated in the activation of the Ras/Raf/Erk/p53 signalling pathways of host cells.
Acanthamoebacastellanii is a free-living amoeba that can cause Acanthamoeba keratitis in humans after infection, as well as granulomatous amoebic encephalitis and cutaneous acanthamoebiasis in immunocompromised individuals [1, 2]. In recent years, serious Acanthamoeba infections have been associated with an increasing number of contact lens wearers and immunocompromised patients. This parasite has a life cycle with two phases, the trophozoite and the cyst, which differ morphologically. When exposed to starvation conditions or a change in osmotic pressure, the trophozoites transform into cysts to better withstand harsh environmental conditions. This parasite readily encysts in response to nutrition source deprivation, osmotic shock or a combination of both . Thus, the growth and encystation of Acanthamoeba trophozoites, which are regulated by a number of biological factors, can lead to persistent infections and influence the pathogenicity of this parasite.
The first stage of Acanthamoeba infection is the interaction between mannose binding protein (MBP) on the surface of the parasite and the mannosylated proteins on the surface of host cells . Next, a variety of proteolytic enzymes are secreted into the host, hydrolysing the host’s tissue and resulting in tissue oedema, inflammation and necrosis . Among these enzymes, serine proteases  and cysteine proteases (CPs)  are the main proteolytic proteins. Studies have shown that many serine proteases with different molecular weights are involved in the degradation of host cells and extracellular matrix  during pathogenic Acanthamoeba infection, and are inhibited by proteasome inhibitors in a concentration dependent manner .
Many protozoa utilise CPs for nutrient uptake, host infection, tissue invasion and environmental adaptation (encystation). It was well established that pathogenicity-related CPs, including cysteine protease 1 (CP1), CP2 and CP5 are expressed during the pathogenic process of Entamoeba histolytica . In Giardia lamblia, CPs and UDP-N-acetylglucosamine pyrophosphorylase are required during encystation. Acanthamoeba expresses many CPs with different molecular weights, including 38.5, 43, 50, 59, 70, 100 and 130 kDa proteases [10-13]. After sequencing and analysis, it was found that both the 990 bp A. castellanii CP gene (AcCP)  and the 1359 bp A. culbertsoni CP gene (AcCP2)  belong to the L cathepsin CP family. AcCP2 contains an Ex3Rx3Wx2N motif in the proregion and a proline/threonine-rich C-terminus. The amino acid sequence of AcCP contains a catalytic site with five residues, as well as ERFNIN and GNFD motifs. Moreover, recombinant AcCP protein was capable of hydrolysing host proteins, including haemoglobin, albumin, IgG, IgA and adhesion proteins, suggesting that AcCP may be an important pathogenic protease in Acanthamoeba .
The pathogenic process of Acanthamoeba mainly depends on the hydrolytic activity of the pathogenic proteases secreted by trophozoites, which activate a series of cell signalling pathways in host cells. Several studies have revealed that various downstream molecules are involved, including G-protein-coupled receptors, beta adrenalin receptors , Toll-like receptor-4 (TLR4), TLR4-myeloid differentiation primary response gene 88 (MyD88), nuclear factor-κB (NF-κB), extracellular signal-regulated kinase (Erk) , phosphatidylinositol-3-kinase (PI3K) and cytosolic phospholipase (A2αcPLA2α) . Due to the complex pathogenic mechanisms of Acanthamoeba infection, cytopathogenic effects in host cells are not solely mediated by these signalling molecules. Instead, changes in the expression levels of other signalling molecules in the host may be involved. The Ras/Raf/Erk signalling pathway is well known as a key intracellular signal transduction pathway regulating cell differentiation, proliferation and apoptosis, and can be regulated by various growth factors. When cells are stimulated, Ras protein kinase expression is up-regulated, thereby activating downstream Erk1/2 protein. Further, the activation of Ras/Raf/ERK signalling can lead to the activation of the tumour suppressor p53. Increased phosphorylation of p53 can up-regulate apoptotic proteins and inhibit bcl-2 proteins, eventually induce apoptosis . However, whether the Ras/Raf/Erk/p53 signalling pathways of host cells are involved in the pathogenesis of Acanthamoeba has not yet been verified. In addition, it has not been reported whether the CPs secreted by trophozoites are involved in the activation of the Ras/Raf/Erk/p53 signalling pathways of host cells.
Here, we amplified the CP genes of A. castellanii and determined their roles in the pathogenesis and encystation of trophozoites. We confirmed that AcCP3 is specifically required for the pathogenicity and virulence of trophozoites. By potentially activating the Ras/Raf/Erk/p53 signalling pathway of host cells, AcCP3 may play an important role in the pathogenesis of Acanthamoeba and may be involved in the pathophysiology of Acanthamoeba infection.
Amoeba and cell culture
A. castellanii (American Type Culture Collection, ATCC 30011), which was originally isolated from a keratitis patient, was cultured axenically in peptone-yeast-glucose (PYG) medium at 26°C, and trophozoites were harvested in the logarithmic growth phase. Human larynx epidermoid carcinoma cells (HEp-2) purchased from ATCC were cultured in EMEM (Gibco, USA) supplemented with 10% fetal bovine serum (FBS) (Thermo Fisher Scientific, USA), 100 U/ml penicillin and 100 μg/ml streptomycin. Human corneal epithelial cells (HCECs) purchased from Bioleaf (Shanghai, China) were grown in DMEM (Gibco, USA) with 10% FBS, 100 U/ml penicillin and 100 μg/ml streptomycin. Both cells were cultured in a 37°C incubator with 5% CO2.
Encystation assays were performed as described previously  with slight modifications. Briefly, trophozoites from post-logarithmic growth phase cultures were treated with phosphate buffered saline (PBS; containing 137 mM NaCl, 2.7 mM KCl, 10 mM Na2HPO4, 1.8 mM KH2PO4) with 50 mM MgCl2 and 10% glucose in culture plates at 30°C (5 × 105 trophozoites per ml of medium) for 72 h. The treated materials were collected at 24 h, 48 h and 72 h for RNA extraction, respectively.
Cloning of AcCP genes andexpression level analysis
The CP genes of Acanthamoeba were cloned from the cDNA of trophozoites using the primers listed in Table S1 by polymerase chain reaction (PCR). PCR was performed in a 9902 Veriti 96-well Thermal Cycler (Applied Biosystems, USA) (94°C for 3 min; 35 cycles of 94°C for 15 s, 55°C for 30 s and 72°C for 1 min; followed by 72°C for 7 min). The amplified PCR products were purified and ligated into a pMD19-T vector (Takara, Japan), and the nucleotide sequences were obtained by automated sequencing.
A.castellanii mRNA was extracted from trophozoites and cysts using RNeasy® Plus Mini Kit (Qiagen, Hilden, Germany), and cDNA was synthesised using a PrimeScript® 1st strand cDNA synthesis kit (Takara, Japan). Quantitative real-time PCR (qRT-PCR) was carried out in a final reaction volume of 20 µl according to the manufacturer’s recommendations on an ABI 7500 Real-time PCR system (Applied Biosystems, USA). Reactions were performed in a 96-well plate with TB Green Premix Ex Taq II (Takara, Japan) to analyse the expression level of AcCPs. The primers for AcCPs genes and the GAPDH internal reference are listed in Table S2. The amplification cycling conditions were as follows: 30 s at 95 °C and 40 cycles of 5 s at 95 °C and 35 s at 60 °C. Each experiment was performed at least three times.
Expression, purification and refolding of recombinant AcCP3 protein
The correct plasmids containing AcCP3 were amplified with primers containing HindIII and BamHI restriction sites, and the PCR products were ligated into the pQE-30 expression vector (Qiagen, Germany). The sequences of all constructs were confirmed on both strands and analysed with Vector NTI software (Invitrogen, Waltham, USA). Plasmids were transformed into M15 (pREP4) cells (Qiagen, Germany) for protein expression. The selected clones were cultured in Luria-Bertani broth containing 100 μg/ml ampicillin and recombinant AcCP3 (rAcCP3) expression was induced using 1 mM isopropyl-β-D-thiogalactoside for 3 h at 37°C. The recombinant rAcCP3 protein was purified using a QIA Express kit in accordance with the manufacturer’s instructions. The purity and mass of protein was determined by sodium dodecyl sulphate polyacrylamide gel electrophoresis (SDS-PAGE). Since the N-terminal peptide sequence in recombinant CPs can inhibit the hydrolytic activity of the protease, it was necessary for the recombinant AcCP3 to be refolded to obtain the mature peptide with hydrolytic activity . Refolding of the purified recombinant protein was performed as described previously [11, 21]. In brief, purified rAcCP3 (2 mg) was slowly added to 100 ml refolding buffer, containing 100 mM Tris-HCl (pH 8.0), 1 mM ethylenediaminetetracetic acid (EDTA), 250 mM L-arginine, 5 mM reduced glutathione (GST), and 1 mM oxidised glutathione. The protein was gently stirred at 4°C overnight, and then dialysed against 10 mM Tris-HCl (pH 7.5). The obtained rAcCP3 was further processed as described previously . In brief, sodium acetate buffers with pH 4.0 to 7.0 were used to analyse the optimal pH condition required for obtaining the fully matured rAcCP3 enzyme. The concentration of matured rAcCP3 enzyme was measured using a protein assay (Bio-Rad, USA).
Analysis of biological characteristics of AcCP3
To assess the role of AcCP3 in Acanthamoeba pathogenesis, the reactivation of the physiological properties of trophozoites was performed using HEp-2 cell monolayers as described previously [23, 24]. In brief, HEp-2 cells were cultured in 75 cm2 tissue culture flasks (Corning, USA) at 37°C under sterile conditions until the monolayer covered the bottom of the flask completely, at which point the supernatant was removed. Trophozoites (106) suspended in 25 mL physiological 0.9% NaCl were inoculated onto the monolayer, three times consecutively. Cocultures of amoebae and HEp-2 cells were incubated at 26°C until the monolayer was completely lysed. Reactivated trophozoites were collected and total mRNA was extracted. qRT-PCR was performed to analyse the expression level of AcCP3. In addition, MBP was used as a virulence protein in Acanthamoeba . 18S rDNA was used as internal reference . The primers for AcCP3, MBP and 18S rDNA are listed in Table S2.
To determine the effect of AcCP3 on host proteins, haemoglobin (from human blood), collagen (from human placenta) and albumin (from bovine serum) were purchased from Sigma-Aldrich company (USA). Each protein (2 mg/ml) was incubated with matured rAcCP3 (100 nM) in 50 mM sodium acetate (pH 4.0 or pH 7.0) with 1 mM GST for 3 h at 37°C. The reactions were terminated by adding reducing sample buffer and the degradation activity of rAcCP3 was analysed by SDS-PAGE.
The protease activities of trophozoite crude proteins were analysed using Novex™ 10% Zymogram Plus (Gelatin, China) Protein Gels (Thermo Fisher scientific, USA) in accordance with the manufacturer’s instructions. 1.5 μg crude protein extract was added to each lane. Various inhibitors for different proteases were used. Crude protein extracts treated and untreated with inhibitors (1 h before electrophoresis) were analysed with zymography. The final concentrations of inhibitors were as follows : for serine proteases, 5 mmol/L phenylmethylsulfonyl fluoride (PMSF); for metalloproteases, 2 mmol/L EDTA; for CPs, 40, 60, 80 and 100 mmol/L N-ethylmaleimide (NEM).
AcCP3 gene silencing
siRNA targeting the catalytic domain of AcCP3 was synthesised by RiboBio company (China) and based on the cDNA sequence. The sequence of the forward strand was 5’-AGUACAUCAUCAACAACAA-3’. Trophozoites were plated at a density of 5 × 104 cells in 48-well plates and cultured overnight, then transfected with siRNA (15 μg/ml) for 12 h using SuperFectin™ In Vitro siRNA Transfection Reagent (Pufei, China). As a control, a negative siRNA provided by RiboBio company (China) was also applied to cultured trophozoites. Untreated trophozoites and transfection reagent-treated trophozoites were also processed. After the transfection, the differentially treated trophozoites were harvested to determine the efficacy of the knockdown by examining the expression level of AcCP3 with qRT-PCR, and then for the cytopathic tests.
Effect of AcCP3-knockdown in trophozoites on Acanthamoeba-mediated cytotoxicity
To determine the effects of reduced AcCP3 expression on Acanthamoeba-mediated HCECs death, cytotoxicity assays were performed as previously described . Confluent HCEC monolayers in 12-well culture plates (Corning, USA) were incubated with differentially treated trophozoites (ratio 1:2) at 37°C in a 5% CO2 atmosphere for 24 h. Four different experimental groups were included. Group 1, normal cultured confluent HCECs; Group 2, HCECs co-cultured with normal trophozoites; Group 3, HCECs co-cultured with negative control siRNA-transfected trophozoites; Group 4, HCECs co-cultured with AcCP3-knockdown trophozoites. The cytopathic effects for the different groups of trophozoites were observed using light microscopy (Olympus, Japan). The trophozoites were detached with cold 2 mM EDTA-PBS buffer, chilled on ice for 20 min and then harvested. In addition, HCECs were cultured in fresh DMEM medium with CCK-8 reagent for 2 h, and the cytotoxicity was determined by measuring dehydrogenase release (Cell Counting Kit-8, DOJINDO, Japan). The absorbance of each well was measured at 450 nm using a Model 680 Microplate Reader (Bio-Rad, USA). In order to investigate the signalling pathways in HCECs activated by Acanthamoeba, four groups of differentially treated HCECs were harvested after co-cultured with amoeba for 24 h. qRT-PCR was performed to analyse the expression level of the Ras gene (NM_004985.4). The forward strand was 5’- AGGAAGCAAGTAGTAATTGATGGA-3’, the reverse strand was 5’- GCCTGTTTTGTGTCTACTGTTCT-3’. Human GAPDH used as an internal reference, with forward strand 5’- TCACCACCATGGAGAAGGC-3’, reverse strand 5’- GCTAAGCAGTTGGTGGTGCA-3’.
Western blotting assays
The activation states of Raf, Erk and p53 in differentially treated HCECs were determined using western blotting assays as previously described . Briefly, four groups of differentially treated HCECs were harvested for western blotting after cocultured with amoeba for 24 h. The cells were lysed in 100 μL lysis buffer (one milliliter lysis buffer containing 20 μL Phosphatase inhibitors, 20 μL Protease inhibitor cocktail, 100 μL PBS, 5 μL NP-40, and 855 μL ddH2O). The cell lysate (20 μg) was resolved by SDS-PAGE and transferred to PVDF membranes (Roche, Switzerland). We used the following primary antibodies purchased from Cell Signalling Technology (USA): rabbit anti-p-Raf (Ser338), rabbit anti-Raf, rabbit anti-p-Erk (Thr202/Tyr204), rabbit anti-Erk, mouse anti-p-p53 (Ser15), and mouse anti-p53. HRP-labelled goat anti-mouse and goat anti-rabbit secondary antibodies (Abcam, UK), and rabbit polyclonal to β-actin (Abcam, UK), were detected with Tanon™ High-sig ECL Western Blotting Substrate (Tanon, China), observed with an ECL detection system (Tanon, China), and the scanned images were quantified using Image-Pro Plus 4.5.1 software (Media Cybernetics, USA).
The results of qRT-PCR were calculated using the 2-△△Ct method. Statistical analyses were performed using GraphPad Prism software (San Diego, USA). Significance was calculated by one-way analysis of variance followed by a Tukey test or Student’s t-test. Data are expressed as mean ± SD and at least three independent experiments were performed for each experiment. A P value of < 0.05 was considered significant in all analyses.
Identification of pathogenic AcCPs
The sequences encoding full-length CP genes were amplified using PCR procedures. Four new open reading frames (ORF) corresponding to CP genes were identified in A. castellanii. The sequences of AcCP3, AcCP8, AcCP9, and AcCP10, and with the accession numbers LC472809, LC472810, LC472812, LC472813, respectively, (Table S3) have been submitted to the GenBank database. AcCP8 does not present the typical characteristics of CPs. The sequences of AcCP6 (XM004341651) and AcCP7 (XM004358251) from ATCC30011 have also been confirmed in the Neff strain.
The amino acid residues Q, C, H and N that act as the catalytic site of cathepsin L-family CPs exist in AcCPs. The modified ERFNIN and GNFD motifs that are conserved in cathepsin L-like CP family members have also been observed in AcCPs . We found that while AcCP8 had no C active site, the amino acid sequences of the other CPs contained the conserved C site, which is mainly involved in the refolding of the protease (Fig. S1). The nucleotide sequence homology of CPs between ATCC30011 and Neff 7 CPs was as high as 99%.
Expression pattern of AcCPs during encystation
Typical structure of cysts was observed by electron microscopy after 72 h of encystment (Fig. 1A). qRT-PCR was used to analyse the expression levels of the AcCPs during the encystation process. As shown in Fig. 1B, the mRNA levels of AcCP3, AcCP7, AcCP8, AcCP9, and AcCP10 were decreased at 24 h, 48 h and 72 h (with the exception of AcCP7 at 72 h), indicating that these AcCPs may not be involved in encystation. In contrast, AcCP6 was gradually but substantially up-regulated during encystation, suggesting that AcCP6 may play a uniquely important role in the formation of cysts regardless of most cathepsin L-family CPs were not involved in encystation.
The relationship between AcCPs and protozoan virulence
In order to investigate the role of AcCPs in Acanthamoeba virulence, trophozoites that were axenically grown in vitro for several years were reactivated with HEp-2 cells. The qRT-PCR analysis of AcCP and MBP mRNA expression in pre- and post-reactivated trophozoites are shown in Fig. 2. Compared with pre-reactivated trophozoites, the MBP expression level as well as the expression levels of six of the CPs were up-regulated following trophozoite reactivation, and the expression level of AcCP3 was significantly increased in trophozoites invading HEp2 cells (P < 0.05; Fig. 2). These data indicate that AcCPs may play an important role in Acanthamoeba pathogenesis by mediating host cell damage during infection. Further, AcCP3 in particular may act as a potential pathogenic factor during Acanthamoeba invasion.
Refolding of rAcCP3 and degradation of host proteins
The AcCP3 gene contains a 993-bp ORF encoding a 329-amino acid protein. A portion of the prodomain and the entire mature domain of AcCP3 was amplified and expressed using a pQE-30 expression vector. AcCP3 was expressed in M15 competent cells as an inclusion body protein with an apparent molecular mass of 34 kDa (Fig. 3A, lane 1). The recombinant protein was purified by Ni-NTA affinity chromatography and then refolded. The refolded sample was further processed under acid-reduction conditions to be processed into a fully active enzyme. The size of the fully activated mature rAcCP3 was consistent with the predicted size of the mature protease (27 kDa) (Fig. 3A, lane 2). Then the fully activated rAcCP3 was used for an assay of host proteins degradation. SDS-PAGE showed that rAcCP3 possesses proteolytic activity against human haemoglobin, collagen and bovine serum albumin. In addition, all these protein substrates were hydrolysed at acidic pH, but not at neutral pH (Fig. 3B, C & D).
Low proteolytic activity of AcCP3 knockdown trophozoites
In order to investigate the biological role of AcCP3 in Acanthamoeba trophozoites, trophozoites were transfected with AcCP3-siRNA. qRT-PCR revealed that the mRNA level was significantly reduced in AcCP3 knockdown trophozoites (Fig. 4A). Besides, the expression of other CPs’ genes was not affected by AcCP3-siRNA (Fig. S2). There was no significant difference in the growth and proliferation rate of trophozoites between the knockdown and wild-type strains (data not shown). Further, no differences observed in the growth and proliferation rate between superfectin-treated trophozoites (superfectin) and negative control siRNA-transfected trophozoites (Ne) compared to untreated trophozoites cultured with PYG. Subsequently, the hydrolytic activity of AcCP3 knockdown trophozoites was compared to that of wild-type trophozoites and protease inhibitor-treated trophozoites (Fig. 4B & C). 1.5 μg of differently treated crude protein extracts were added into lane 1 to lane 8, and lane 10. The crude protein extracts in lane 1 and lane 4, corresponding to wild-type trophozoites, showed high hydrolytic activity. Lane 2 and lane 3 showed that it was not the metalloprotease inhibitor EDTA but the serine proteinase inhibitor PMSF could inhibit this hydrolytic activity. Lanes 5 to 8 showed that NEM could inhibit this hydrolytic activity in a concentration dependent manner. The ability of PMSF and NEM to inhibit the hydrolytic activity of crude protein extracts from trophozoites confirmed previous results . In lane 9, 1.5 μg crude protein extract from trophozoites transfected with negative control siRNA showed comparable hydrolytic activity with that from wild type trophozoites (lane 1 and lane 4), suggesting that the negative control siRNA has little effect on the hydrolytic activity. Lane 10 is equally treated as lane 5. Results in lane 11 showed attenuated hydrolytic activity of trophozoites transfected with AcCP3 siRNA. Zymography above revealed that AcCP3 was crucial for the proteolytic activity in trophozoites.
Effect of AcCP3 knockdown on protozoa-mediated cytotoxicity
Cytotoxicity assays were performed with four differently treated HCECs as described in the methods section. When HCECs were cultured alone, the cells grew into a confluent monolayer and were tightly connected to one another, with a small number of cells lifted off from the dish because of overgrowth (shown as Fig. 5A). The white arrows in Fig. 5B, C and D indicate the cellular voids formed when HCEC monolayer cells were destroyed by trophozoite penetration. After co-culture of confluent HCECs and wild-type trophozoites, most adherent HCECs became suspended and the tight connections between the cells were disrupted, resulting in the formation of cellular voids (Fig. 5B). While there were no differences in the formation of cellular voids between negative control siRNA-transfected trophozoites and untreated trophozoites (Fig. 5C). In addition, compared with control siRNA-transfected trophozoites, trophozoites transfected with AcCP3 siRNA exhibited a decrease in Acanthamoeba-mediated HCEC cytotoxicity, showing lesser cellular voids and more attached cells (Fig. 5C, D & E). To quantify the cytopathic activity, the dehydrogenase released from cells was detected by CCK-8 kit after co-culture of HCECs and differently treated trophozoites. After 24 h treatment, HCECs treated with AcCP3 knockdown trophozoites exhibited the highest dehydrogenase release compared to HCECs treated with normal trophozoites or negative siRNA transfected trophozoites (Fig. 5F). These results indicated that AcCP3 was an important pathogenic factor for Acanthamoeba to induce cytotoxicity of host cells.
Inhibition of AcCP3 expression antagonized Ras/Raf/Erk signalling in target cells
Four groups of HCECs treated as described in the methods section were harvested after co-cultured with trophozoites, qRT-PCR was used to analyse the mRNA expression levels of Ras genes. The data showed (Fig. 6A) that the expression level of K-Ras was significantly increased in HCECs co-cultured with wide-type trophozoites (treat 2). On the contrary, the expression level of K-Ras was significantly decreased in HCECs cocultured with AcCP3 knockdown trophozoites (treat 4) compared with treat 2 or treat 3 group. This indicated that AcCP3 siRNA could significantly decrease the mRNA expression level of K-Ras in Acanthamoeba-treated HCECs. In contrast, the mRNA expression levels of H-Ras and N-Ras showed no differences between treat 2 and 4 groups (data not shown). Previous studies have demonstrated that Ras recruits Raf kinase into a complex, which mediates Raf phosphorylation. Raf then phosphorylates MEK1 and MEK2, which in turn activate Erk1/2 by the tandem phosphorylation of threonine and tyrosine residues . Thus, we further examined the levels of p-Raf and p-Erk in HCECs exposed to AcCP3 gene knockdown trophozoites by western blotting. That data shows that (Fig. 6, treat 2) untreated trophozoites could significantly increase the phosphorylation levels of Raf, Erk, and p53 proteins in HCECs. Compared to untreated cultured confluent HCECs (treat 1), HCECs co-cultured with untreated trophozoites (treat 2) or HCECs co-cultured with negative control siRNA-transfected trophozoites (treat 3), the levels of p-Raf and p-Erk in HCECs co-cultured with AcCP3 siRNA trophozoites (treat 4) were markedly decreased after 24 h treatment (P < 0.01; Fig. 6B & C). Previous studies have suggested that phosphorylation of p53 might be an important mechanism in Ras/Raf/Erk-induced apoptosis. Thus, we also examined the levels of p-p53 in HCECs cocultured with AcCP3 knockdown trophozoites. The data showed that the p-p53 was also markedly down-regulated after 24 h treatment (P < 0.01). Results above demonstrated that inhibiting the expression of AcCP3 protein could reduce the Acanthamoeba-mediated phosphorylation levels of Raf, Erk and p53 proteins in HCECs, suggesting that AcCP3 might participate in the activation of Raf, Erk and p53 proteins in HCECs during Acanthamoeba invasion.
CP family proteins are essential to the life cycle of several protozoa by influencing several diverse processes, such as nutrient intake, protein degradation of parasites, immunomodulators, host cell invasion and encystment/excystment, in addition to well-established roles in protein processing and catabolism. They are also an important virulence factor for parasites . It has recently been reported that A. castellanii expresses CPs with proteolytic effects . However, little research has been done on the pathogenic and encystment mechanisms of Acanthamoeba CPs. Long-term sterile passage culture of Acanthamoeba trophozoites in vitro may reduce the toxicity of the trophozoites . However, a potential method to reactivate attenuated trophozoite virulence was identified by growing the trophozoites on HEp-2 cell monolayers three times using the Acanthamoeba 1BU strain (ATCC no. Pra-105) [23, 24]. Using this method, we found that the expression levels of six AcCPs were higher following reactivation, especially AcCP3, suggesting that AcCPs may play a pathogenic role in Acanthamoeba. In vitro, AcCP3 could effectively hydrolyse host haemoglobin, collagen and albumin after refolding, and it had strong hydrolytic activity in an acidic environment but almost no hydrolytic activity in a neutral environment. This characteristic is similar to that of vivapain from Plasmodium vivax  and CsCF-6 from Clonorchis sinensis .
The pathogenic process of Acanthamoeba in the host cell is regulated by various signalling molecules. G protein-coupled receptor and β adrenalin receptor inhibitors block the activity of trophozoite proteases, thereby affecting the growth, encystation, vitality, and pathogenicity of the parasite . The HCECs used in our experiments primarily express the epithelial markers E-cadherin, ZO-1, and β-catenin. It has been reported that Toll-like receptor 4 (TLR4) is an important pathogenic target of Acanthamoeba in human corneal epithelial cells (HCECs). After attaching to the surface of host cells, Acanthamoeba activates TLR4, which in turn affects intracellular MyD88, NF-κB and Erk . It has been found that thrombinase and trypsin can activate protease-activated receptor (including PAR1 and PAR2) in HCECs, and promote the secretion of pro-inflammatory factors such as IL-6, IL-8 and TNF-α, leading to ocular inflammation . Furthermore, studies have shown that Acanthamoeba-induced host cell death is related to PI3K signalling . Acanthamoeba-induced host cell apoptosis is associated with mitochondrial overexpression of pro-apoptotic proteins . It was found that cytosolic phospholipase A2 alpha (cPLA2-α) is involved in Acanthamoeba-induced apoptosis of HCECs . To determine whether AcanthamoebaAcCP3 interactes with HCECs via the TLR4 receptor, it will be necessary to determine whether CPs can bind to the TLR4 receptor on the surface of HCECs as pathogen-associated molecular patterns. In this study, zymography revealed that the proteolytic activity of trophozoites was decreased following AcCP3 gene knockdown, and trophozoites after AcCP3 gene silencing exhibited a decrease in Acanthamoeba-mediated HCEC cytotoxicity. The mechanism of AcCP3 in Acanthamoeba-mediated HCEC cytotoxicity must be confirmed with regards to its role in cell signalling pathways.
The Ras/Raf/Erk signalling pathway is the main signalling pathway regulating the occurrence and development of tumours, and is important in regulating apoptosis . This pathway activates endogenous apoptotic pathways, such as the release of mitochondrial cytochrome c , as well as the activation of caspase-9 , caspase-8 , and p53 . The ability of the amoeba to activate the Ras/Raf/p53 signalling pathways of host cells during infection has not been verified. Ras signalling molecules include H-Ras, K-Ras, and N-Ras . The role of Ras in HCECs has been confirmed, and it has been reported that Ras can regulate the inflammatory response in the cornea of mice . In addition, the Ras/Erk signalling pathway can be activated by hepatocyte growth factor  in HCECs. In this study, we found that Acanthamoeba infection mainly affected the expression level of the K-Ras gene in HCECs, and western blot analysis showed that trophozoites could also increase the phosphorylation levels of Raf, Erk1/2, and p53 in HCECs; taken together, this indicates that Acanthamoeba could activate the Ras/Raf/ERK/p53 signalling pathways of host cells. Moreover, studies have found that serine and cysteine protease inhibitors can down-regulate Ras pathway-induced apoptosis. Protease inhibitors can inhibit the activation of Ras, which may be related to the involvement of proteases in tumour cell invasion and metastasis . In summary, proteases are involved in the activation of Ras protein and downstream signalling pathways. In this study, the phosphorylation of Ras/Raf/ERK/p53 signalling pathway components in HCECs was decreased when the expression of AcCP3 was inhibited in trophozoites. This suggests that AcCP3 is involved in the activation of the Ras/Raf/ERK/p53 signalling pathway during the trophozoite pathogenic process.
It is not well understood how CP expression and function changes during encystation in Acanthamoeba. We analysed the transcription levels of six genes and found that Acanthamoeba CP AcCP6 was the most highly expressed CP gene during the encystation process. This indicates that while most cathepsin L-family CPs are not involved in encystation, AcCP6 may participate in this process. Of these CP genes, AcCP6 emerges as the most highly expressed and exhibits developmental regulation, with expression increasing dramatically during encystation and cyst stages. In general, the process of encystation involves the coordinated secretion of cyst wall materials to the periphery of a cell. It was suggested that trophozoites produce abundant cyst wall proteins, including AcCP6, which are packaged into encystation-specific materials in response to environmental cues. Indeed, cysteine endopeptidases in Giardia were localised to the encystation-specific vesicles during encystation. When fixed cysts were subjected to fluorescence in situ hybridization with AcCP3 and AcCP6 DNA probes, AcCP3 and AcCP6 were visualized in both submembranous and nucleus of cysts (Fig. S3). Our data indicated that some CPs could also be regulated by acidification of encystation-specific packages; although, CP3 plays a direct role in acidic vesicles, CP6 may be through other pathways and with different mechanisms, which needs to be separated from the acid conditions. Both CP3 and CP6 were translated under membrane, but there was a specific mechanism to regulate the effect of cyst formation related CP. It had been suggested that encystation vesicles fuse with peripheral vacuoles prior to formation of the cyst wall. The activity of encystation-specific CP (AcCP6) toward protein substrates is greatly reduced in an acidic compartment.
These results suggested that various Acanthamoeba CPs may be required during pathogenic and cyst formation processes. We propose that various CPs, especially AcCP3 and AcCP6, play important roles in the regulation of pathogenic and encystment processes. Further study of the pathogenic mechanisms of Acanthamoeba trophozoites will provide a platform for the development of new anti-Acanthamoeba drugs. Further work will be required to clarify the role of the other CPs in Acanthamoeba. The present study preliminarily confirmed that Acanthamoeba trophozoites activate the Ras/Raf/Erk/p53 signalling pathways of HCECs and contribute to host cell death. The phosphorylation of the Ras/Raf/Erk/p53 signalling pathway decreased after inhibiting the expression of AcCP3, indicating that AcCP3 may be an important pathogenic factor involved in the pathogenesis of trophozoites.
XC and MF designed the study. ZW, DW, MF conducted the work. XC acquired funding. ZW and DW wrote the first draft of the manuscript. XC, MF and HT revised the manuscript. All authors read and approved the final manuscript.
This research was funded by the National Natural Science Foundation of China. (NSFC, 81572020)
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AcCPs: Acanthamoeba cysteine proteases; HCECs: human corneal epithelial cells; CP: cysteine proteases; TLR4: Toll-like receptor-4; MyD88: TLR4-Myeloid differentiation primary response gene. NF-κB: Nuclear Factor-κB; Erk: Extracellular signal-regulated kinase, PI3K: phosphatidylinositol-3-kinase, PBS: phosphate buffered saline; qRT-PCR: quantitative real-time polymerase chain reaction; SDS-PAGE: sodium dodecyl sulphate polyacrylamide gel electrophoresis; EDTA: ethylenediaminetetracetic acid. GST: glutathione; PMSF: phenylmethylsulfonyl fluoride. ORF: open reading frames.