RT Journal Article SR Electronic T1 A staphylococcus aureus pore-forming toxin subverts the activity of ADAM10 to cause lethal infection in mice JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP P2542 VO 44 IS Suppl 58 A1 Ichiro Inoshima A1 Juliane Bubeck Wardenburg A1 Naoko Inoshima A1 Georgia Wilke A1 Micheal Powers A1 Karen Frank A1 Hironori Mikumo A1 Yuichi Mizuta A1 Yoichi Nakanishi YR 2014 UL http://erj.ersjournals.com/content/44/Suppl_58/P2542.abstract AB Staphylococcus aureus secretes α-hemolysin, a pore-forming cytotoxin that contributes to the pathogenesis of pneumonia. α-hemolysin injures epithelial cells by interacting with the zinc-dependent metalloprotease ADAM10 as its receptor5. We show that conditional knock out mice of Adam10 in the lung epithelium are highly resistant to lethal pneumonia.Investigation of the molecular mechanism of toxin-receptor function revealed that α-hemolysin upregulates ADAM10 metalloprotease activity in alveolar epithelial cells, resulting in cleavage of the adherens junction protein E-cadherin. Cleavage causes a disruption of epithelial barrier function, contributing to the pathogenesis of acute lung injury.A specific metalloprotease inhibitor of ADAM10 prevents toxin-induced E-cadherin cleavage; similarly, E- cadherin proteolysis and barrier disruption is attenuated in ADAM10 knockout mice.The observation that Hla can usurp the metalloprotease activity of its receptor reveals a novel mechanism of pore-forming cytotoxin action in which pathologic insults are not solely the result of irreversible membrane injury, and defines inhibition of ADAM10 activity as a strategy for disease modification.