Haemolysin produced by Vibrio mimicus activates two Cl^- secretory pathways in cultured ntestinal-like Caco-2 cells

Haemolysin (VMH) is a virulent factor produced by Vibrio mimicus, a human pathogen that causes diarrhoea. As intestinal epithelial cells are the primary targets of haemolysin, we investigated its effects on ion transport in human colonic epithelial Caco-2 cells. VMH increased the cellular short circuit current (Isc), used to estimated ion fluxes, and ¹²⁵I efflux of the cells. The VMH-induced increases in Isc and ¹²⁵I efflux were suppressed by depleting Ca^2± from the medium or by pretreating the cells with BAPTA-AM or by Rp-adenosin 3′,5′-cyclic monophosphorothioate triethylammonium salt (Rp-cAMPS). The Cl - channel inhibitors 4,4′-disothiocyanatostibene-2,2′-disulfonic acid (DIDS), glybenclamide, and 5-nitro-2-(3-phenylpropylamino)benzoic acid (NPPB) suppressed the VMH-induced increases in Isc and ¹²⁵I efflux. Moreover, VMH increased the intracellular concentrations of Ca^2± and cAMP. Thus, VMH stimulates Caco-2 cells to secrete Cl^- by activating both Ca^2± -dependent and cAMP-dependent Cl^- secretion mechanisms. VMH forms ion-permeable pores in the lipid bilayer that are non-selectively permeable to small ions. However, the ion permeability of these pores was not inhibited by glybenclamide and DIDS, and VMH did not change the cell membrane potential. These observations indicate that the pores formed on the cell membrane by VMH are unlikely to be involved in VMH-induced Cl^- secretion. Notably, VMH stimulated fluid accumulation in the iliac loop test that was fully suppressed by a combination of DIDS and glybenclamide. Thus, Ca^2± -dependent and cAMP-dependent Cl^- secretion may be important therapeutic targets with regard to the diarrhoea that is induced by Vibrio mimicus.