Acanthamoebae produce a painful, sight-threatening corneal infection known as
Acanthamoeba keratitis (
9,
15,
21). While the cornea is the only known susceptible tissue in healthy, immunocompetent individuals, this protozoan parasite produces chronic granulomatous amoebic encephalitis and disseminating infections, including dermatitis and pneumonitis, in immunocompromised individuals (
13,
14). It is generally accepted that minor trauma to the corneal epithelium caused by contact lens wear (
2,
9,
22) or other noxious agents and exposure to contaminated solutions, including lens care products and tap water (
8,
11), are two major predisposing factors in the pathogenesis of the keratitis. Studies aimed at characterization of the molecular mechanism by which the parasite invades the corneal tissue have suggested that a carbohydrate-based recognition system plays a key role in the adhesion of the parasites to the host cells (
16,
19,
24) and the amoeba-induced cytopathic effect (CPE) that occurs subsequent to the adhesion (
3,
12). Specifically, these studies have shown that (i) acanthamoebae bind to a neoglycoprotein, mannosylated bovine serum albumin (Man-BSA), but not to galactose-BSA (
1); (ii) methyl-α-mannopyranoside (α-Man), but not closely related saccharides, including mannitol and glucose (Glc), specifically inhibit the adhesion of acanthamoebae to the surfaces of corneal buttons, as well as to corneal epithelial cells in culture (
1,
17,
19,
25); (iii) α-Man, α1-3-
d-mannobiose, α1-3,α1-6-
d-mannotriose, and α1-3,α1-6,α1-3,α1-6-
d-mannopentose, which inhibit the amoeba's binding to Man-BSA, are also potent inhibitors of amoeba-induced CPE on corneal epithelial cells (
1); and (iv) acanthamoebae express an ∼400-kDa mannose-binding protein (MBP) that is constituted of multiple 130-kDa subunits (
4). While these studies indirectly suggest that the adhesion of
Acanthamoeba to the corneal surface is mediated by interactions between a mannose-specific lectin on the surface of the amoeba and mannose residues of glycoproteins of the corneal epithelium, direct evidence demonstrating that the
Acanthamoeba MBP is a virulence protein is lacking. In large part, this is due to difficulties in transfection of genes into
Acanthamoeba cells. In the present study, using antibodies against affinity-purified
Acanthamoeba MBP, we provide direct evidence that the amoeba lectin is a major virulence protein. Clearly, MBP can mediate the adhesion of parasites to host cells only if it is located on the cell surface. Our recent studies of cDNA sequence analysis of MBP have suggested that the lectin is a transmembrane protein (
4). In addition, in an early preliminary study using a cell surface biotinylation technique, we showed that a 136-kDa component with affinity for mannose is present on surface membranes of the amoebae (
25). In the present study, by immunostaining and electrophoresis of affinity-purified cell surface biotin-labeled MBP under native and denaturing conditions, we conclusively established that
Acanthamoeba MBP is indeed a cell surface protein. Finally, we demonstrate here for the first time that
Acanthamoeba MBP is itself a mannose-containing glycoprotein.
DISCUSSION
The observations presented here corroborate our recent studies showing that the Acanthamoeba MBP is a major virulence protein. In addition, we show that the MBP is itself a mannose-containing glycoprotein and conclusively establish that the lectin is located on the surface membranes of parasites.
Neutral-sugar analyses and lectin binding experiments using s-ConA, a plant lectin with high affinity for α-Man, revealed that
Acanthamoeba MBP is itself a mannose-containing glycoprotein. This is important because the putative carbohydrate-based intramolecular interactions may substantially influence the folding, conformation, and secondary structure of the MBP. In this respect, it is well established that oligosaccharides linked to protein backbones can significantly influence folding of glycosylated proteins (
5,
18,
20). Since the electrophoretic mobility of the MBP shifted from 130 kDa to 110 kDa after treatment with PNGase F to remove N-linked oligosaccharides, it appears that ∼15% of the apparent mass of MBP is carbohydrate. Our finding that the MBP lacks detectable levels of GalNAc, a saccharide that links O-linked oligosaccharides to the protein backbone, suggests that the O-linked oligosaccharides do not contribute significantly to the mass of the MBP.
In the present study, we conclusively established that
Acanthamoeba MBP is indeed a cell surface protein. This is important because the MBP can mediate the adhesion of parasites to host cells only if it is located on the cell surface. Since the MBP isolated from the unlabeled parasite extracts is a 400-kDa protein that is constituted of 130-kDa subunits (
4), we first demonstrated that biotinylation of parasites labels a protein that migrates as a 400-kDa component in nonreducing gels and as a 130-kDa component on reducing gels. Second, we confirmed that the 400-kDa biotin-labeled component that bound α-Man gel is indeed a mannose-binding protein by showing that in dot blot assays, it bound to Man-BSA, and that this binding was inhibited by α-Man but not by a number of other sugars. Third, antibodies to
Acanthamoeba MBP robustly stained the cell membranes of the parasites. These data are consistent with our recent study of cloning and sequencing of the
Acanthamoeba MBP, which revealed that the amoeba lectin is a transmembrane protein with characteristics of a typical cell surface receptor (
4).
The first step in the pathogenesis of infection is the adhesion of parasites to the host cells. Subsequent to adhesion, the parasites induce a potent CPE. As described above, in earlier studies, we showed that free mannose specifically inhibits the adhesion of amoebae to host cells and the amoeba-induced CPE (
1). Therefore, it was of interest to determine whether the antibody prepared against the purified MBP has the potential to inhibit
Acanthamoeba binding to host cells and the subsequent CPE. Indeed, we demonstrated that polyclonal anti-MBP prepared in chickens was a potent inhibitor of
Acanthamoeba adhesion to epithelial cells and the
Acanthamoeba-induced CPE. These data provide direct evidence that
Acanthamoeba MBP is a major virulence protein responsible for interaction with host tissues and subsequent CPE. In this respect, in a recent study, we found that oral immunization with recombinant MBP protects against
Acanthamoeba keratitis in a hamster animal model and that this protection correlates with the appearance of MBP-specific IgA in the tears of immunized animals (M. Garate, unpublished data). The tear-specific IgA is likely to provide protection by preventing the parasite from binding to the corneal epithelium. Characterization of the biological role of the MBP is an important step in understanding the mechanism of
Acanthamoeba keratitis and lays a foundation for future studies to develop better therapeutic strategies for the management of the disease.