Cholera toxin and extracellular Ca2+ induce adherence of non-piliated Neisseria: evidence for an important role of G-proteins and Rho in the bacteria-cell interaction

In this study, we characterize the interaction between non-piliated (P^?) Neisseria gonorrhoeae and human epithelial cells. P^? mutants lacking the pilus subunit protein PilE attach at low levels to cells. Although the binding may not lead to heavy inflammatory responses, the interaction between P^? Neisseria and host cells most probably play a role in colonization and asymptomatic carriage of the pathogen. Here we show that the adherence of P^? N. gonorrhoeae is blocked by GDP-β-S guanosine 5'- O -(thio)diphosphate], a non-hydrolyzable GTP analogue, and by C3 exotoxin, an inhibitor of the small G-protein Rho. G-protein activators such as cholera toxin, that activates G_s, and fluoroaluminate, a general G-protein activator, induced bacterial adherence. Furthermore, increase of the extracellular free Ca²⁺] dramatically enhanced adherence of non-piliated Neisseria . The pharynx and the urogenital tract are natural entry sites of the pathogenic Neisseria species, and at both sites the epithelial cells can be exposed to wide variations in Ca²⁺ concentration. Taken together, these data show the importance of extracellular Ca²⁺ in the pathogenic Neisseria -host interaction, and reveal a novel function of cholera toxin, namely induction of bacterial adherence.