In one project, we have discovered how the enteric bacterial toxin, cholera toxin (CT), breeches the intestinal epithelial barrier and enters host epithelial cells to cause disease. CT and the other AB5-subunit toxins hijack membrane lipids and the cellular and molecular mechanisms of retrograde membrane transport to move from the plasma membrane into the endoplasmic reticulum (ER) of affected cells. Once in the ER, a portion of the toxin, the A1-chain, co-opts components of ERAD (ER-associated degradation) to retro-translocate to the cytosol where it acts enzymatically to cause disease.
Recent studies show that the structure of the ceramide (lipid) domain of the GM1 slycophingolipid receptor plays a decisive role in the trafficking of the toxins backwards in the secretory pathway. Structure-function analysis have elucidated native and non-native ceramide domains that may have clinical applications.
In other studies, we found that upon entry into the endoplasmic reticulum (ER) of host cells, a portion of these toxins activate the unfolded-protein sensor IRE1α. And we discovered the structural basis for unfolded protein recognition by IRE1a leading to induction of the unfolded protein response. Our work on IRE1a led to new projects focused on the biology of its evolutionarily evolved paralogue IRE1b.