Mechanism of intestinal-derived fungal sepsis by gliotoxin, a fungal metabolite

J Pediatr Surg. 2003 Jun;38(6):966-70. doi: 10.1016/s0022-3468(03)00135-0.

Abstract

Background/purpose: Gut barrier dysfunction resulting from fungal overgrowth may be caused by the interaction of gliotoxin (GT), a fungal metabolite, with enterocytes. The goal of this study was to determine the mechanisms by which gliotoxin (GT), a fungal metabolite, causes enterocyte apoptosis.

Methods: The authors measured enterocyte apoptosis, caspase-3 activity, pro-caspase-3, and poly (ADP-ribose) polymerase (PARP) cleavage in GT-exposed IEC-6 cells, a rat intestinal cell line.

Results: GT induced apoptosis in IEC-6 cells. The pan-caspase inhibitor ZVAD suppressed this GT-mediated apoptosis. GT induced a 15-fold increase in caspase-3 activity over media control. The authors detected PARP cleavage by after GT exposure. DTT pretreatment decreased apoptosis compared with GT alone.

Conclusions: This study supports the concept that fungal overgrowth may lead to gut barrier dysfunction by the local release of gliotoxin and the induction enterocyte apoptosis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Apoptosis / physiology
  • Candidiasis / microbiology
  • Candidiasis / pathology
  • Cell Line
  • Dose-Response Relationship, Drug
  • Gliotoxin / antagonists & inhibitors
  • Gliotoxin / blood
  • Gliotoxin / metabolism*
  • Gliotoxin / toxicity*
  • Intestinal Diseases / microbiology*
  • Intestinal Diseases / pathology
  • Rats
  • Sepsis / microbiology*
  • Sepsis / pathology
  • Time Factors

Substances

  • Gliotoxin