Open Access

The role of Src kinase in the biology and pathogenesis of Acanthamoeba castellanii

  • Ruqaiyyah Siddiqui1,
  • Junaid Iqbal1,
  • Marie-josée Maugueret2 and
  • Naveed Ahmed Khan1Email author
Parasites & Vectors20125:112

DOI: 10.1186/1756-3305-5-112

Received: 2 April 2012

Accepted: 15 May 2012

Published: 7 June 2012

Abstract

Background

Acanthamoeba species are the causative agents of fatal granulomatous encephalitis in humans. Haematogenous spread is thought to be a primary step, followed by blood–brain barrier penetration, in the transmission of Acanthmaoeba into the central nervous system, but the associated molecular mechanisms remain unclear. Here, we evaluated the role of Src, a non-receptor protein tyrosine kinase in the biology and pathogenesis of Acanthamoeba.

Methods

Amoebistatic and amoebicidal assays were performed by incubating amoeba in the presence of Src kinase-selective inhibitor, PP2 (4-amino-5-(4-chlorophenyl)-7-(t-butyl)pyrazolo[3,4-d]pyrimidine) and its inactive analog, PP3 (4-amino-7-phenylpyrazolo[3,4-d]pyrimidine). Using this inhibitor, the role of Src kinase in A. castellanii interactions with Escherichia coli was determined. Zymographic assays were performed to study effects of Src kinase on extracellular proteolytic activities of A. castellanii. The human brain microvascular endothelial cells were used to determine the effects of Src kinase on A. castellanii adhesion to and cytotoxicity of host cells.

Results

Inhibition of Src kinase using a specific inhibitor, PP2 (4-amino-5-(4 chlorophenyl)-7-(t-butyl)pyrazolo [3,4-d] pyrimidine) but not its inactive analog, PP3 (4-amino-7-phenylpyrazolo[3,4-d] pyrimidine), had detrimental effects on the growth of A. castellanii (keratitis isolate, belonging to the T4 genotype). Interestingly, inhibition of Src kinase hampered the phagocytic ability of A. castellanii, as measured by the uptake of non-invasive bacteria, but, on the contrary, invasion by pathogenic bacteria was enhanced. Zymographic assays revealed that inhibition of Src kinases reduced extracellular protease activities of A. castellanii. Src kinase inhibition had no significant effect on A. castellanii binding to and cytotoxicity of primary human brain microvascular endothelial cells, which constitute the blood–brain barrier.

Conclusions

For the first time, these findings demonstrated that Src kinase is involved in A. castellanii proliferation, protease secretions and phagocytic properties. Conversely, invasion of Acanthamoeba by pathogenic bacteria was stimulated by Src kinase inhibition.

Keywords

Acanthamoeba Pathogenesis Encephalitis Src kinase

Background

Based on the ribosomal DNA (rDNA) sequencing, the genus Acanthamoeba represents 17 different groups, i.e., T1 – T17 [13]. The basis of this scheme is that each group (or genotype) exhibits ≥ 5% rDNA sequence divergence from other genotypes. Pathogenic Acanthamoeba (predominantly belonging to the T4 genotype) can produce painful, blinding keratitis, normally associated with contact lens use or a fatal granulomatous amoebic encephalitis (GAE), primarily associated with immunocompromised patients [46]. The most distressing aspect is that the prognosis is poor, despite advances in antimicrobial chemotherapy and supportive care. In particular, there is very limited success in the treatment of GAE, which is most likely due to the inability of drugs to cross the blood–brain barrier into the central nervous system (CNS) to target pathogen, non-specific toxicity, and amoebae transformation into resistant cyst forms. However, alkylphosphocholine compounds show promise [7]. Among them, hexadecylphosphocholine has been shown to possess anti-Acanthamoeba characteristics and has the ability to cross the blood–brain barrier. To date, their mode of action and in vivo efficacy are unknown. Clearly, there is a need to find novel strategies in the rational development of therapeutic interventions.

The burden of Acanthamoeba keratitis on human health is estimated at 0.01 – 1.5 infections per 10,000 people who wear contact lens [4]. In contrast, a true or even approximate burden of encephalitis on human health is not known. As indicated above, GAE infections are usually limited to immunocompromised patients, such as those with HIV/AIDS [8]. GAE can also occur in chronically ill or debilitated individuals, some of whom take immunosuppressive therapy or broad-spectrum antibiotics [8]. The pathogenesis of the disease is not clearly understood, although the route of infection is thought to relate to the inhalation of the amoebae through the nasal passages and lungs or infection through skin lesions [8]. The respiratory and cutaneous infections tend to last for a few months, whereas infection involving the CNS can be fatal within days [5, 6]. The haematogenous spread by circulating amoebae is a prerequisite for GAE, followed by their traversal of the blood–brain barrier, but the underlying mechanisms remain incompletely understood [4, 9]. It is possible that new targets may be found in the signal transduction pathways that can affect amoeba survival and host-pathogen interactions. Src is a member of a larger family of related tyrosine kinases that includes Fyn, Yes, Lck, Blk, Lyn, Hck, Yrk and Fgr. Src is a non-receptor protein tyrosine kinase and its activation is mainly regulated by phosphorylation at the tyrosine 416 residue [10]. Src signalling has been implicated in a variety of cellular processes, including cell growth, survival, cellular transformation and motility [11, 12]. For the first time, in the present study, we investigated the role of Src kinase in A. castellanii.

Methods

All chemicals were purchased from Sigma (Poole, Dorset, UK), unless otherwise stated.

Culturing of Acanthamoeba castellanii

An A. castellanii isolate belonging to the T4 genotype was obtained from the American Type Culture Collection (ATCC50492), and sourced from a keratitis patient. The cells were grown axenically in 10 ml of PYG medium [0.75% (w/v) proteose peptone, 0.75% (w/v) yeast extract and 1.5% (w/v) glucose] (Oxoid Ltd., Basingstoke, UK) in a T-75 tissue culture flask at 30 °C as previously described [13]. The medium was refreshed 17 – 20 h prior to experiments, which resulted in > 95% of amoebae in the trophozoite form.

Human brain microvascular endothelial cell (HBMEC) culture

The primary BMEC were isolated from the human tissue and purified by fluorescent activated cell sorting (FACS) and exhibited endothelial characteristics, such as expression of endothelial markers, F-VIII, carbonic anhydrase IV and uptake of acetylated low density lipoprotein (AcLDL) as previously described [13, 14]. HBMEC were grown in RPMI-1640 containing 10% foetal bovine serum, 10% NuSerum, 2 mM glutamine, 1 mM pyruvate, penicillin (100U/ml), streptomycin (100U/ml), non-essential amino acids and vitamins (Invitrogen, Paisley, UK) [13, 14].

Amoebistatic and amoebicidal assays

A. castellanii were grown to confluency in 24-well plates. Next day, plates were washed with PBS to remove unbound amoebae. The varying concentrations of a potent, Src kinase-selective inhibitor, PP2 (4-amino-5-(4-chlorophenyl)-7-(t-butyl)pyrazolo[3,4-d pyrimidine) [15] and its inactive analog, PP3 (4-amino-7-phenylpyrazolo[3,4-d pyrimidine) [16] (Calbiochem, San Diego, CA, USA) were added. For growth assays, amoebae plus inhibitors were incubated in PYG medium for various intervals of time, followed by haemocytometer counting. For viability assays, amoeba plus inhibitors were incubated in PBS for 24 h, and viability determined by Trypan blue exclusion testing using haemocytometer counting [17]. For controls, normal growth rates of A. castellanii were determined using growth medium alone, i.e., PYG or amoebae incubated in PBS in the absence of inhibitors.

Zymographic assays

The extracellular proteolytic activities of Acanthamoeba were determined using zymographic assays as previously described [18]. Briefly, A. castellanii were incubated in the presence or absence of various concentrations of Src kinase inhibitors for 24 h. Next day, cell-free supernatants (CM, conditioned medium) were collected by centrifugation. The CM were electrophoresed on sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) containing gelatin (2 mg/ml) as a protease substrate. After electrophoresis, gels were washed in 2.5% Triton X-100 (wt/vol) for 60 min, then incubated in developing buffer (50 mM Tris–HCl, pH 7.5, containing 10 mM CaCl2) at 37 °C overnight. Next day, gels were stained with Coomassie Brilliant Blue. Areas of gelatin digestion were visualised as non-staining regions in the gel.

Phagocytosis assays using live, non-invasive E. coli K-12

A. castellanii were grown to confluency in 24-well plates. Next day, plates were washed with PBS to remove unbound amoebae. A. castellanii were incubated with various concentrations of Src kinase inhibitor, PP2 and its inactive analog, PP3 in RPMI at room temperature for 30 min. After this incubation, A. castellanii were washed with PBS to remove any residual inhibitor. Next, live Escherichia coli K-12 (107/well), a non-invasive laboratory strain, HB101 were added and plates were incubated for 45 min to allow phagocytic uptake. Following this incubation, supernatants were removed and gentamicin was added (final conc. 100 μg/ml for 45 min) to kill any remaining extracellular E. coli. Next, the numbers of A. castellanii were determined using haemocytometer counting. Finally, A. castellanii were solubilized with 0.5% SDS and E. coli counts were determined by inoculating lysates on nutrient agar plates. This allowed the determination of any intracellular E. coli.

Determination of relative phagocytic activity

The level of A. castellanii phagocytosis was determined as follows: No. of E. coli colony forming units (cfu)/Total number of A. castellanii x 100 = % phagocytosis. Results are expressed as relative phagocytosis (% phagocytosis in untreated A. castellanii was considered as 100% and levels of phagocytosis in inhibitor-treated A. castellanii are shown as percentage change).

Invasion assays using live pathogenic E. coli K1

Invasion assays were performed as for phagocytosis assays except that an invasive strain of E. coli K1, RS218 (O18:K1:H7) a cerebrospinal fluid isolate from a meningitis patient) was used as opposed to the non-invasive K-12.

Adhesion assays

To determine the ability of A. castellanii to bind HBMEC, adhesion assays were performed [19]. Briefly, HBMEC were grown to confluency in 24-well plates. A. castellanii (4 x 105 amoebae/well) were pre-incubated with various concentrations of inhibitor for 30 min. After this incubation, A. castellanii were washed with PBS to remove residual inhibitor. Finally, A. castellanii were added to HBMEC monolayers in RPMI 1640 containing 2 mM glutamine, 1 mM pyruvate and non-essential amino acids) and plates incubated at 37 °C in a 5% CO2 incubator. After 1 h incubation, the unbound amoebae were counted using a haemocytometer and the numbers of bound amoebae were calculated as follows: No. of unbound amoebae/Total number of amoebae x 100 = % unbound amoebae. The numbers of bound amoebae were deduced as follows: % unbound amoebae – 100 = % bound amoebae.

Cytotoxicity assays

Cytotoxicity assays were performed as previously described [19]. Briefly, A. castellanii were pre-treated with PP2 and PP3 and incubated with HBMEC monolayers grown in 24-well plates as described for adhesion assays. Plates were incubated at 37 °C in a 5% CO2 incubator and periodically observed for cytopathic effects for up to 24 h. At the end of this incubation period, supernatants were collected and cytotoxicity was determined by measuring lactate dehydrogenase (LDH) release (cytotoxicity detection kit; Roche Applied Science, Lewes, East Sussex, UK). Briefly, conditioned media of co-cultures of A. castellanii and HBMEC were collected and percentage LDH was detected as follows: (sample value – control value/total LDH release – control value x 100 = % cytotoxicity). Control values were obtained from HBMEC incubated in RPMI alone. Total LDH release was determined from HBMEC treated with 1% Triton X-100 for 30 min at 37 °C.

Acanthamoeba Src kinase identification and sequence alignments

Putative Acanthamoeba Src kinase protein was searched in Acanthamoeba castellanii genome database, hosted by The Human Genome Sequencing Center, Baylor College of Medicine (http://blast.hgsc.bcm.tmc.edu/blast.hgsc?organism = AcastellaniNeff), using closely related Monosiga brevicollis Src1 kinase protein sequence (NCBI accession No. AAP78682) [20], through BLAST search. Recovered Acanthamoeba protein was further aligned with its different homologs in other organisms using MUSCLE 3.8 hosted at European Bioinformatics Institute webpage (http://www.ebi.ac.uk/Tools/msa/muscle/). The name and NCBI accession numbers of different organisms Src kinase proteins used in alignment, are Drosophila melanogaster c-Src (AAA28913.1), Caenorhabditis elegans Src1 (NP_490866), Ephydatia fluviatilis Src related protein (BAB83688), Monosiga brevicollis Src1 (EDR48627.1) Hydra vulgaris (AAA29217.1) and Human cSrc (NP_005408).

Results and discussion

Inhibition of src kinase reduced A. castellanii growth

To determine the role of Src kinase on the biological properties of A. castellanii, growth and viability assays were performed. Growth under control conditions (amoebae incubated in growth medium in the absence of inhibitor) showed an approximate doubling of the number of cells every 24 h (Figure 1). However, the presence of Src kinase inhibitor, PP2, significantly reduced growth [P = 0.015 for amoebae in PYG versus amoebae in PYG plus PP2 (50 μM) at 96 h, using T-test, paired, one tail distribution] but did not affect amoebic viability, as determined by Trypan blue exclusion test (0% effects). At micromolar concentrations of PP2 (50 μM), amoeba growth was abolished. In contrast, inactive analog Src kinase, PP3 affected neither growth nor viability of A. castellanii for any time point tested [P = 0.051 for amoebae in PYG versus amoebae in PYG plus PP3 (50 μM) at 96 h, using T-test, paired, one tail distribution] (Figure 1).

Src kinase inhibition blocked A. castellanii phagocytosis in a concentration-dependent manner

To determine the effects of Src kinases on A. castellanii phagocytosis of E. coli K-12, phagocytosis assays were performed. It was observed that A. castellanii exhibited significant reduced bacterial uptake in the presence of PP2, specific Src kinase inhibitor [P = 0.038 for amoebae with K-12 versus amoebae with K-12 plus PP2 (50 μM), using T-test, paired, one tail distribution], although there was no difference at 10 μM (P = 0.21) (Figure 2). At 100 μM of PP2, more than 50% inhibition of A. castellanii uptake of E. coli K-12 strain, HB101 was observed (Figure 2). In contrast, PP3, an inactive analog of PP2, had no effect on bacterial uptake by A. castellanii at any of the concentrations tested (P = 0.127 for amoebae with K-12 versus amoebae with K-12 plus PP3 (50 μM), using T-test, paired, one tail distribution) (Figure 2).

Pathogenic E. coli K1 invasion of A. castellanii was enhanced using Src kinase inhibitor, PP2

In contrast to phagocytic uptake of non-invasive bacteria by Acanthamoeba (Figure 2), effects of Src kinase were reversed in the invasion of pathogenic E. coli K1 into A. castellanii. Pre-treatment of A. castellanii with PP2 significantly enhanced invasion of pathogenic bacteria [P = 0.026 for amoebae with K-12 versus amoebae with K-12 plus PP2 (50 μM), using T-test, paired, one tail distribution], although there was no difference at 10 μM (P = 0.077) (Figure 3). At 100 μM of PP2, invasion of a neuropathogenic E. coli K1 into A. castellanii was more than doubled (Figure 3). In contrast, PP3, an inactive analog of PP2 had no effect on bacterial uptake by A. castellanii at any of the concentrations tested [P = 0.09 for amoebae with K-12 versus amoebae with K-12 plus PP3 (50 μM), using T-test, paired, one tail distribution] (Figure 3).

Src kinases are involved in Acanthamoeba protease secretions

To determine the role of Src kinase in A. castellanii protease secretion, conditioned medium (CM) was produced in the presence of Src kinase inhibitor, PP2, or its inactive analog, PP3 and analysed for protease activities. In the absence of any inhibitor, A. castellanii exhibited significant proteolytic activities (Figure 4). The proteolytic activity was sensitive to phenylmethylsulfonyl fluoride (PMSF), a serine protease inhibitor, indicating specific inhibition (data not shown). In contrast, CM prepared in the presence of PP2 exhibited reduced protease activities (> 50% inhibition) (Figure 4), while PP3 exhibited no effects (Figure 4). The protease secretion was increasingly reduced with a corresponding increase in the concentration of PP2, an effect not observed when PP3 was used (Figure 4).

Src kinases did not affect Acanthamoeba adhesion to and cytotoxicity of HBMEC

To determine the involvement of Src kinase in A. castellanii binding to and cytotoxicity of HBMEC, assays were performed. It was observed that neither PP2 nor PP3 had any significant effect on Acanthamoeba binding to HBMEC monolayers (Figure 5A) (At 100 μM, P = 0.086 for PP2 and P = 0.256 for PP3 respectively, using T-test, paired, one tail distribution). Next, to determine the effects of PP2 on A. castellanii-mediated HBMEC death, cytotoxicity assays were performed. In the absence of PP2, Acanthamoeba produced severe HBMEC cell cytotoxicity (up to 65%) within 24 h (Figure 5B). Although A. castellanii pre-treatment with PP2 showed increased HBMEC cytotoxicity due to amoebae, however, these effects were insignificant (At 100 μM of PP2, P = 0.053, using T-test, paired, one tail distribution) (Figure 5B). In contrast, PP3 had no effects on A. castellanii-mediated HBMEC cytotoxicity (At 100 μM of PP3, P = 0.10, using T-test, paired, one tail distribution) (Figure 5B).

Acanthamoeba src kinase identification and sequence alignments

A BLAST search of Monosiga brevicollis Src1 protein in the A. castellanii genome resulted in the identification of protein (of 639 amino acids in length), which was found to be similar in architecture to human cSrc and its orthologs (Figure 6a and b), indicated here as Acanthamoeba castellanii Src kinase (AcSrc). Putative AcSrc kinase shares considerable amino acid homology with its orthologs [36% with Caenorhabditis elegans Src1 (NP_490866); 34% with Ephydatia fluviatilis Src related protein (BAB83688); 33% with Hydra vulgaris (AAA29217.1); 31% with Drosophila melanogaster c-Src (AAA28913.1)]. However, it also has its unique N- and C-terminal regions which are not homologous to its orthologs but to a small hypothetical protein of the fungus Verticillium dahliae in NCBI database (data not shown). In the human cSrc kinases protein, phosphorylation of tyrosine at positions 419 and 530 (Y419 and Y530) marks the protein for active and inactive state, respectively [21, 22]. Of these two phosphorylation sites, a tyrosine residue corresponding to Y530 of human cSrc is present in AcSrc kinase, but the tyrosine residue corresponding to Y419 of human cSrc is absent. This information suggests that the AcSrc kinase might be constitutively active in Acanthamoeba. The role of these conserved tyrosine residue Y530 is not clear in protist Src kinases, because the phosphorylation of MbSrc1 in Monosiga brevicolli at the tyrosine residue corresponding to Y530 of human cSrc kinase did not result in an inactivation of its kinase activity, unlike its human homologs [20], which may explain the functioning of AcSrc. The amino acids which take part in binding of ATP and PP2 in human Srk kinases [23, 24] showed similarity in AcSrc (Figure 6b). This further supported our findings that PP2 binds and inhibits Acanthamoeba Src kinase, which might have a role in important cellular processes, such as growth and phagocytosis.

Recent studies have shown that Acanthamoeba exhibits multifactorial virulence properties to produce damage of HBMEC, which constitute the blood–brain barrier, to produce encephalitis and corneal epithelial cells to induce keratitis [4]. Here, we studied the role of Src kinases on the biology and pathogenesis of Acanthamoeba. The findings revealed that Src kinase inhibitor, PP2, but not its inactive analog, PP3, abolished A. castellanii proliferation. These findings indicate that Src kinases have a pivotal role in the growth of A. castellanii, which is consistent with some previous findings that showed that Src is an important signalling molecule involved in the growth of various eukaryotic cell types [11, 12]. Src kinases act on a number of substrates in the cell, including enzymes involved in phospholipid metabolism, such as the p85 subunit of PI3-K, phopholipase C-γ (PLC-γ) and the signalling molecules p190RhoGAP, p120rasGAP and EGF receptor substrate, Eps8, involved in cellular transformation, proliferation and survival [2527]. Phospholipid metabolism is important for the synthesis and maintenance of the cell membrane. Inhibition of this pathway would result in a cessation of growth and proliferation, a possible explanation for the present findings relating to the transformation of amoebae into the cyst form. The fact that Src kinases are involved in the life cycle and growth of A. castellanii suggest that they should be studied further.

A. castellanii use phagocytosis for food uptake (such as non-invasive E. coli K-12), whereas E. coli K1 (a causative agent of bacterial meningitis), utilises A. castellanii as a reservoir and invades into the Acanthamoeba. Inhibition of Src kinase reduced A. castellanii phagocytosis of non-invasive K-12 with an increase in the concentration of PP2, while opposite effects were observed for invasive E. coli K1. A likely explanation is that E. coli K-12 is a food source for amoebae. In such situations, the process of bacterial uptake is most likely to be “driven” by A. castellanii, which would be dependent on amoeba intracellular signal transduction pathways involving Src kinases. In contrast, neuropathogenic E. coli K1 is an invasive strain. Their invasion of A. castellanii is most likely reliant on bacterial invasion, which might explain the involuntary uptake of E. coli K1 by A. castellanii, as observed in the present study. However, this contrasts with results of previous studies [16, 28, 29], which showed the involvement of Src in Staphylococcus aureus-invasion of embryonic kidney cells, Shigella invasion of epithelial cells and uropathogenic E. coli-invasion of bladder epithelial cells, which may be due to different host cell types, i.e., phagocytic Acanthamoeba versus non-phagocytic host cells. Future studies are needed to address these aspects in a comparative way.

Acanthamoeba are known to secrete large amounts of proteases that are shown to be key virulence factors in keratitis [30, 31] as well as GAE infections [9, 13]. For example, it is shown that serine proteases of Acanthamoeba increased the permeability of the blood–brain barrier by over 45% [32], while intrastromal injection of amoeba excretory products produced lesions similar to those observed in keratitis patients [31]. In the present study, it was observed that Src kinase played an important role in the protease secretion by A. castellanii. The proteases involved were shown to be serine proteases, inhibited by PMSF. This is significant as the inhibition of serine proteases dramatically reduce the ability of A. castellanii to cause inflammation and tissue damage [13, 32] and possibly subsequent GAE.

Previous studies have shown that the adhesion of A. castellanii to the host cell is an important step in the pathogenesis of acanthamoebiasis [33, 34]. Our findings revealed that Src kinase had a minimal effect on A. castellanii adhesion to HBMEC, which is not surprising, as Src kinases are regulators of intracellular signalling pathways, and the binding of amoebae to HBMEC is known to be mediated by mannose-binding protein expressed on the surface membranes of Acanthamoeba[33, 34]. Given that Src kinases inhibited protease secretion and phagocytic activity of A. castellanii and that both properties have been implicated in the pathogenicity of Acanthamoeba, it was anticipated that inhibition of Src kinases would result in reduced A. castellanii-mediated HBMEC cytotoxicity. It was surprising that the inhibition of Src kinases had no significant effect on HBMEC cytotoxicity. However, cytotoxicity is a delayed event and PP2 effects are reversible [19]. The fact that assays were performed by pre-treatment of A. castellanii with PP2 for 30 min followed by their incubation with HBMEC for 24 h. in the absence of inhibitor, may explain these findings. As PP2 has toxic effects on the host cells, assays could not be performed in the presence of PP2 for longer periods of time. Future studies, using host cells expressing dominant negative forms of Src kinases, should establish their involvement in A. castellanii-mediated HBMEC cytotoxicity.

Conclusions

For the first time, the present findings showed that Src kinases are involved in the proliferation, phagocytic properties and proteolytic activities of A. castellanii. Future studies should further explore the precise mechanisms associated with Acanthamoeba pathogenesis, which may help develop preventative and/or therapeutic interventions against acanthamoebiasis.

Declarations

Acknowledgements

This work was partially supported by grants from The Aga Khan University, Life Sciences Research Fund, University of London, and British Council for Prevention of Blindness.

Authors’ Affiliations

(1)
Department of Biological and Biomedical Sciences, The Aga Khan University
(2)
School of Biological and Chemical Sciences, University of London

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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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J Biol Chem. 2004, 279: 29849-29856. 10.1074/jbc.M402334200.View ArticlePubMedGoogle Scholar\n\nCopyright\n\n\u00a9\u00a0Siddiqui et al.; licensee BioMed Central Ltd.\u00a02012\n\nThis article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.", "oeba. J Biol Chem. 2004, 279: 29849-29856. 10.1074/jbc.M402334200.View ArticlePubMedGoogle Scholar\n\nCopyright\n\n\u00a9\u00a0Siddiqui et al.; licensee BioMed Central Ltd.\u00a02012\n\nThis article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.", "oeba. J Biol Chem. 2004, 279: 29849-29856. 10.1074/jbc.M402334200.View ArticlePubMedGoogle Scholar\n\nCopyright\n\n\u00a9\u00a0Siddiqui et al.; licensee BioMed Central Ltd.\u00a02012\n\nThis article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.", "oeba. J Biol Chem. 2004, 279: 29849-29856. 10.1074/jbc.M402334200.View ArticlePubMedGoogle Scholar\n\nCopyright\n\n\u00a9\u00a0Siddiqui et al.; licensee BioMed Central Ltd.\u00a02012\n\nThis article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.", "oeba. J Biol Chem. 2004, 279: 29849-29856. 10.1074/jbc.M402334200.View ArticlePubMedGoogle Scholar\n\nCopyright\n\n\u00a9\u00a0Siddiqui et al.; licensee BioMed Central Ltd.\u00a02012\n\nThis article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.", "oeba. J Biol Chem. 2004, 279: 29849-29856. 10.1074/jbc.M402334200.View ArticlePubMedGoogle Scholar\n\nCopyright\n\n\u00a9\u00a0Siddiqui et al.; licensee BioMed Central Ltd.\u00a02012\n\nThis article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.", "oeba. J Biol Chem. 2004, 279: 29849-29856. 10.1074/jbc.M402334200.View ArticlePubMedGoogle Scholar\n\nCopyright\n\n\u00a9\u00a0Siddiqui et al.; licensee BioMed Central Ltd.\u00a02012\n\nThis article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.", "oeba. J Biol Chem. 2004, 279: 29849-29856. 10.1074/jbc.M402334200.View ArticlePubMedGoogle Scholar\n\nCopyright\n\n\u00a9\u00a0Siddiqui et al.; licensee BioMed Central Ltd.\u00a02012\n\nThis article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.", "oeba. J Biol Chem. 2004, 279: 29849-29856. 10.1074/jbc.M402334200.View ArticlePubMedGoogle Scholar\n\nCopyright\n\n\u00a9\u00a0Siddiqui et al.; licensee BioMed Central Ltd.\u00a02012\n\nThis article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.", "oeba. J Biol Chem. 2004, 279: 29849-29856. 10.1074/jbc.M402334200.View ArticlePubMedGoogle Scholar\n\nCopyright\n\n\u00a9\u00a0Siddiqui et al.; licensee BioMed Central Ltd.\u00a02012\n\nThis article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited."]}