The Gram-negative bacterium Shigella flexneri triggers pro-inflammatory apoptotic cell death in macrophages, which is crucial for the onset of an acute inflammatory diarrhoea termed
bacillary dysentery. The Mxi-Spa
type III secretion system promotes bacterial uptake and escape into the cytoplasm, where, dependent on the translocator/effector
protein IpaB, caspase-1 [
interleukin (IL)-1beta-converting
enzyme] and its substrate IL-1beta are activated. Here, we show that in the course of a macrophage
infection, IpaB is secreted intracellularly for more than 1 h post-
infection and progressively accumulates in aggregates on the bacterial surface. Concomitantly, the bacterial pool of IpaB is gradually depleted. The protonophore
carbonyl cyanide m-chlorophenylhydrazone (
CCCP) dose-dependently inhibited the Mxi-Spa-dependent secretion of IpaB triggered by the
dye Congo red in vitro and abolished translocation of IpaB into the host-cell cytoplasm of S. flexneri-infected macrophages.
CCCP specifically inhibited S. flexneri-triggered macrophage death in a dose-dependent manner, even if added up to 60 min post-
infection. Addition of
CCCP 15 min after
infection blocked macrophage cell death, the activation of caspase-1 and the maturation of IL-1beta, without affecting uptake or escape of S. flexneri from the phagosome. By contrast,
CCCP used at the same concentration had no effect on
ATP-induced caspase-1 activation or
staurosporine-induced apoptosis. Our results indicate that under the conditions used,
CCCP rapidly and specifically blocks bacterial type III secretion, and thus, intracellular type III secretion promotes cytotoxicity of S. flexneri.