These studies demonstrate the Ca
2+ and calpain dependence of intestinal epithelial cell BB assembly and BB disassembly initiated by a common enteric pathogen, EPEC. Calpastatin overexpression blocks calpain activity up to 80%, in proportion to increase of the calpastatin/m-calpain ratio. Calpastatin overexpression inhibits the rate of apical microvillus elongation 2.5-fold, blocks ezrin recruitment to the BB and decreases apical microvillus density. The pharmacological calpain inhibitors ZLLYCHN2, MDL 28,170 and ritonavir, which selectively block the sulfhydryl protease domain, and the PD150606 inhibitor, which blocks the Ca
2+-binding EF hand domain, similarly inhibit BB assembly and ezrin recruitment. The BB proteins ezrin and villin are decreased in the membrane/cytoskeletal fraction, while BB content of β-actin, the microvillus isoactin, is unchanged. The F-actin content of the apical domain is disorganized in calpastatin over-expressing cells, shifted from microvillus structures to irregular clumps. These results indicate a regulatory role for calpain in microvillus actin assembly and in the nucleation and extension of microvilli. Thus calpain is involved not only in motility-associated actin remodeling, but also actin remodeling associated with cell differentiation. We find also that calpain regulates adherens junction formation,
3 suggesting a general role for calpain in intestinal epithelial cell differentiation. The finding that EPEC-mediated BB effacement is regulated by calpain provides an alternative explanation for the Ca
2+-sensitivity of microvilli (
33), previously attributed to Ca
2+ activation of the actin severing activity of villin. These findings are consistent with the notion that the BB is not static, in agreement with studies of BB protein turnover (
34).
There are at least three mechanisms by which calpain could facilitate actin filament, and thus microvillus, extension: (
a) uncapping of actin filaments to foster microvillus extension, (
b) disruption of ezrin and myosin I linkages between bundled microvillus actin filaments and the membrane needed for movement of the microvillus core relative to the membrane, thus creating space for addition of actin monomers at the barbed ends of actin filaments, or (
c) remodeling of the terminal web or cortical membrane to facilitate microvillus actin filament nucleation. Supporting the first mechanism, ezrin is an important component of microvilli and associates specifically with the microvillus actin isotype, β-actin, through an indirect interaction at the actin filament barbed end (
2,
35). This complex of ezrin and β-actin is Ca
2+- and calpain-sensitive, and involves the ubiquitous β-actin capping protein βcap73 (
3). Because the binding of ezrin and βcap73 to the barbed end of actin filaments is calpain sensitive, it has been proposed that activation of calpain mediates Ca
2+-regulated exposure of barbed ends (
3).
Prior studies have argued against capping of actin filaments in microvilli (
36), despite fact that microvilli tend to be uniform in length, arguing in favor of some form of capping complex. Isolated, permeabilized, microvilli have free barbed ends that can serve as sites of elongation of actin filaments (
37). Nonetheless, ezrin is easily extractable under the membrane permeabilization conditions used in these studies, and capping proteins may be extractable as well (
3). When isolated BB, not treated with detergent, is soaked in solutions of actin monomer, addition of monomer at the barbed ends indicates uncapped actin structure (
37). Nonetheless, the added actin monomers have an altered filament structure, not found in control tips, suggesting that the tip structure of the microvillus is altered as a result of BB preparation. Our finding of calpain in the membrane/cytoskeletal fraction of Caco 2 enterocytes provides an alternative explanation. Calpain activation during BB isolation could disrupt ezrin-containing capping structures and promote addition of actin monomer to barbed ends.
A second mechanism by which calpain could facilitate microvillus actin polymerization is by disruption of linkages between the microvillus core and the membrane. This would allow the membrane to become untethered, permitting the addition of actin monomers to the barbed ends of actin filaments. The main linker proteins that connect the microvillus core to the membrane are the heavy chain of BB myosin I (BBMI), previously referred to as the p110 linker protein (
38), and ezrin (
39). Although BBMI is not known to be a calpain substrate, it is lost in microvilli following Ca
2+-treatment (
40), in contrast to other abundant core proteins, including villin (95 kDa), fimbrin (68 kDa), and actin (42 kDa). Furthermore, myosin and unconventional myosins, including myosin V, are calpain substrates (
41,
42). Ezrin, which binds the barbed end of microvillus actin filaments (
2,
3), is also found along the entire length of the microvillus (
1). In addition to being a barbed end-associated molecule, ezrin oligomers bind to the sides of actin filaments (
26). Since ezrin may tether the sides of the microvillus core to the membrane, we propose that calpain cleavage of side-binding ezrin may facilitate untethering of the membrane during microvillus protrusion formation. Elongation of the filaments could then result in increased ezrin binding capacity, consistent with our observation that calpain activity facilitates ezrin recruitment to the BB.
A third mechanism by which calpain could facilitate microvillus growth is by facilitating microvillus actin nucleation. Calpastatin overexpression results in a similar phenotype as cytochalasin B treatment, namely reduction in the density of microvilli (
43). These results suggest that calpain and regulation of actin barbed end exposure play essential roles in nucleation of microvilli at the apical membrane or in the terminal web. The mechanism of nucleation of microvilli is unknown, but short β-actin oligomers, 7–10 monomers in length, present at the plasma membrane
4 could function as isoactin nucleation sites. Tethering of these oligomers to the plasma membrane through a calpain-sensitive ezrin linkage could provide a source of nuclei for elongation. Furthermore, these β-actin oligomers may be associated with spectrins of the terminal web, allowing an anchoring point for incipient actin filaments. Association of the spectrins TW 260/240 with microvillus actin rootlets (
44) supports this notion. In this model, calpain could cleave spectrin filaments, allowing untethering of the membrane from the underlying terminal web, facilitating actin protrusion formation above the plane of the membrane.
The sensitivity of Caco 2 BB assembly to the HIV protease inhibitor, ritonavir, is of clinical importance. Diarrhea is one of the most common side effects of full dose ritonavir in adults (
45) and children (
46) and has been attributed to increased epithelial permeability (
47) in HT29/B6. We present evidence that ritonavir inhibits differentiation-associated cytoskeletal remodeling and BB assembly in Caco 2 enterocytes, concomitant with calpain inhibition. Loss of BB in colonic epithelial cells could interfere with colonic H
2O resorption, contributing to diarrhea. This work supports the notion that some of the toxicities of HIV protease inhibitors may not be due to host/virus/drug interactions, but rather due to direct host/drug interactions.
BB effacement mediated by the EPEC virulence factor EspB (
48) is Ca
2+-dependent. Ca
2+-sensitivity of microvilli has been described and attributed to Ca
2+ activation of the actin filament severing activity of villin (
33,
40,
49). The rise in intracellular Ca
2+ known to correlate with EPEC binding led to the hypothesis that the effacement lesion may be due to Ca
2+ activation of villin (
50,
51). Baldwin hypothesized that the effacement lesion could be related to calpain proteases (
50). We find evidence to support the latter hypothesis, since calpastatin overexpression blocks the EPEC effacement lesion. Villin, by itself, is unlikely to cause the dissolution of the microvillus actin core, since fimbrin would still function as the primary crosslinker (
52). Furthermore, the finding that calpastatin overexpression blocks EPEC-mediated BB effacement, suggests that Ca
2+-mediated activation of villin is insufficient for initiating actin filament disassembly. In addition, actin severing activity of villin induced by Ca
2+ cannot explain the vesiculation of the microvillus membrane induced by Ca
2+ (
49,
53), which may involve dissolution of the submembrane cytoskeleton. Calpain cleavage of ezrin and other linker proteins that connect the microvillus core to the membrane may necessary for microvillus dissolution and the finding that effacement of the enterocyte BB by enteropathogenic
E. coli (EPEC) is Ca
2+-and calpain-dependent, provides support for this hypothesis. Thus, calpain may play regulatory roles in both the physiological formation and pathological dissolution of the BB.