Intramuscular Exposure to a Lethal Dose of Ricin Toxin Leads to Endothelial Glycocalyx Shedding and Microvascular Flow Abnormality in Mice and Swine

Ricin toxin isolated from the castor bean (<i>Ricinus communis</i>) is one of the most potent and lethal molecules known. While the pathophysiology and clinical consequences of ricin poisoning by the parenteral route, i.e., intramuscular penetration, have been described recently in vario...

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Autores principales: Anita Sapoznikov, Yoav Gal, Yentl Evgy, Moshe Aftalion, Shahaf Katalan, Tamar Sabo, Chanoch Kronman, Reut Falach
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:0b91a9f1acf747ff990e8c9006b2be9d2021-11-25T17:55:35ZIntramuscular Exposure to a Lethal Dose of Ricin Toxin Leads to Endothelial Glycocalyx Shedding and Microvascular Flow Abnormality in Mice and Swine10.3390/ijms2222123451422-00671661-6596https://doaj.org/article/0b91a9f1acf747ff990e8c9006b2be9d2021-11-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/22/12345https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067Ricin toxin isolated from the castor bean (<i>Ricinus communis</i>) is one of the most potent and lethal molecules known. While the pathophysiology and clinical consequences of ricin poisoning by the parenteral route, i.e., intramuscular penetration, have been described recently in various animal models, the preceding mechanism underlying the clinical manifestations of systemic ricin poisoning has not been completely defined. Here, we show that following intramuscular administration, ricin bound preferentially to the vasculature in both mice and swine, leading to coagulopathy and widespread hemorrhages. Increased levels of circulating VEGF and decreased expression of vascular VE-cadherin caused blood vessel impairment, thereby promoting hyperpermeability in various organs. Elevated levels of soluble heparan sulfate, hyaluronic acid and syndecan-1 were measured in blood samples following ricin intoxication, indicating that the vascular glycocalyx of both mice and swine underwent extensive damage. Finally, by using side-stream dark field intravital microscopy imaging, we determined that ricin poisoning leads to microvasculature malfunctioning, as manifested by aberrant blood flow and a significant decrease in the number of diffused microvessels. These findings, which suggest that glycocalyx shedding and microcirculation dysfunction play a major role in the pathology of systemic ricin poisoning, may serve for the formulation of specifically tailored therapies for treating parenteral ricin intoxication.Anita SapoznikovYoav GalYentl EvgyMoshe AftalionShahaf KatalanTamar SaboChanoch KronmanReut FalachMDPI AGarticlericinintramuscularglycocalyx sheddingheparan sulfatehyaluronic acidsyndecan-1Biology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 12345, p 12345 (2021)
institution DOAJ
collection DOAJ
language EN
topic ricin
intramuscular
glycocalyx shedding
heparan sulfate
hyaluronic acid
syndecan-1
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle ricin
intramuscular
glycocalyx shedding
heparan sulfate
hyaluronic acid
syndecan-1
Biology (General)
QH301-705.5
Chemistry
QD1-999
Anita Sapoznikov
Yoav Gal
Yentl Evgy
Moshe Aftalion
Shahaf Katalan
Tamar Sabo
Chanoch Kronman
Reut Falach
Intramuscular Exposure to a Lethal Dose of Ricin Toxin Leads to Endothelial Glycocalyx Shedding and Microvascular Flow Abnormality in Mice and Swine
description Ricin toxin isolated from the castor bean (<i>Ricinus communis</i>) is one of the most potent and lethal molecules known. While the pathophysiology and clinical consequences of ricin poisoning by the parenteral route, i.e., intramuscular penetration, have been described recently in various animal models, the preceding mechanism underlying the clinical manifestations of systemic ricin poisoning has not been completely defined. Here, we show that following intramuscular administration, ricin bound preferentially to the vasculature in both mice and swine, leading to coagulopathy and widespread hemorrhages. Increased levels of circulating VEGF and decreased expression of vascular VE-cadherin caused blood vessel impairment, thereby promoting hyperpermeability in various organs. Elevated levels of soluble heparan sulfate, hyaluronic acid and syndecan-1 were measured in blood samples following ricin intoxication, indicating that the vascular glycocalyx of both mice and swine underwent extensive damage. Finally, by using side-stream dark field intravital microscopy imaging, we determined that ricin poisoning leads to microvasculature malfunctioning, as manifested by aberrant blood flow and a significant decrease in the number of diffused microvessels. These findings, which suggest that glycocalyx shedding and microcirculation dysfunction play a major role in the pathology of systemic ricin poisoning, may serve for the formulation of specifically tailored therapies for treating parenteral ricin intoxication.
format article
author Anita Sapoznikov
Yoav Gal
Yentl Evgy
Moshe Aftalion
Shahaf Katalan
Tamar Sabo
Chanoch Kronman
Reut Falach
author_facet Anita Sapoznikov
Yoav Gal
Yentl Evgy
Moshe Aftalion
Shahaf Katalan
Tamar Sabo
Chanoch Kronman
Reut Falach
author_sort Anita Sapoznikov
title Intramuscular Exposure to a Lethal Dose of Ricin Toxin Leads to Endothelial Glycocalyx Shedding and Microvascular Flow Abnormality in Mice and Swine
title_short Intramuscular Exposure to a Lethal Dose of Ricin Toxin Leads to Endothelial Glycocalyx Shedding and Microvascular Flow Abnormality in Mice and Swine
title_full Intramuscular Exposure to a Lethal Dose of Ricin Toxin Leads to Endothelial Glycocalyx Shedding and Microvascular Flow Abnormality in Mice and Swine
title_fullStr Intramuscular Exposure to a Lethal Dose of Ricin Toxin Leads to Endothelial Glycocalyx Shedding and Microvascular Flow Abnormality in Mice and Swine
title_full_unstemmed Intramuscular Exposure to a Lethal Dose of Ricin Toxin Leads to Endothelial Glycocalyx Shedding and Microvascular Flow Abnormality in Mice and Swine
title_sort intramuscular exposure to a lethal dose of ricin toxin leads to endothelial glycocalyx shedding and microvascular flow abnormality in mice and swine
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/0b91a9f1acf747ff990e8c9006b2be9d
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