Previous studies have shown that the protozoan parasite Blastocystis exhibits apoptotic features with caspase-like activity upon exposure to a cytotoxic monoclonal antibody or the anti-parasitic drug metronidazole. The present study reports that staurosporine (STS), a common apoptosis inducer in mammalian cells, also induces cytoplasmic and nuclear features of apoptosis in Blastocystis, including cell shrinkage, phosphatidylserine (PS) externalization, maintenance of plasma membrane integrity, extensive cytoplasmic vacuolation, nuclear condensation and DNA fragmentation. STS-induced PS exposure and DNA fragmentation were abolished by the mitochondrial transition pore blocker cyclosporine A and significantly inhibited by the broad-range cysteine protease inhibitor iodoacetamide. Interestingly, the apoptosis phenotype was insensitive to inhibitors of caspases and cathepsins B and L, while calpain-specific inhibitors augmented the STS-induced apoptosis response. While the identities of the proteases responsible for STSinduced apoptosis warrant further investigation, these findings demonstrate that programmed cell death in Blastocystis is complex and regulated by multiple mediators.
INTRODUCTIONProgrammed cell death (PCD) has long been recognized as an essential process to eliminate unwanted or damaged cells and thus ensure normal growth and development in multicellular organisms (Baehrecke, 2002;Hengartner, 2000). It was assumed that PCD arose with multicellular organisms (Vaux et al., 1994). However, considerable experimental evidence supports the existence of PCD in unicellular eukaryotes. These include non-parasitic organisms, such as yeast (Madeo et al., 2002), the free-living slime mould Dictyostelium discoideum (Arnoult et al., 2001;Cornillon et al., 1994), the free-living ciliate Tetrahymena thermophila (Christensen et al., 1998;Kobayashi & Endoh, 2005) and the dinoflagellate Peridinium gatunense (Vardi et al., 1999). In parasitic organisms, PCD has been described in the kinetoplastid trypanosomes (Ameisen et al., 1995;Welburn et al., 1996) and Leishmania (Arnoult et al., 2002;Bera et al., 2003;Zangger et al., 2002), the apicomplexan parasite Plasmodium Unicellular protozoan parasites cause a wide variety of human diseases. The current treatment of these infections is being challenged by an increasing incidence of drug resistance and a lack of effective vaccines (Croft et al., 2006;Fidock et al., 2008). The investigation of PCD pathways in these organisms might lead to the discovery of novel parasite control strategies (Alvarez et al., 2008;Deponte & Becker, 2004). However, despite the many morphological and biochemical studies of PCD in protozoan parasites, most of the homologues of mammalian molecules involved in cell death signalling are missing in the protozoa, and the molecular architecture of PCD in protozoan parasites therefore remains puzzling.Blastocystis is a unicellular protozoan parasite found in the intestines of humans and many animals (Tan, 2004(Tan, , 2008. It is transmitted through the fa...