Staphylococcal enterotoxin B and related toxins that target T cells have the capacity to elicit systemic inflammation, tissue injury, and death. Genes that encode mediators of inflammation can be globally inhibited by blocking the nuclear import of stress-responsive transcription factors. Here we show that cell-permeant peptides targeting Rch1/importin ␣/karyopherin ␣ 2, a nuclear import adaptor protein, are delivered to T cells where they inhibit the staphylococcal enterotoxin B-induced production of inflammatory cytokines ex vivo in cultured primary spleen cells and in vivo. The systemic production of tumor necrosis factor ␣, interferon ␥, and interleukin-6 was attenuated in mice either by a cell-permeant cyclized form of SN50 peptide or by a transgene whose product suppresses the nuclear import of transcription factor nuclear factor B in T cells. The extent of liver apoptosis and hemorrhagic necrosis was also reduced, which correlated with significantly decreased mortality rates. These findings highlight nuclear import inhibitors as a potentially useful countermeasure for staphylococcal enterotoxin B and other toxins that trigger harmful systemic inflammatory responses.
Staphylococcal enterotoxin B (SEB)1 causes a spectrum of human diseases, including food poisoning and non-menstrual toxic shock syndrome (NMTSS) (1, 2). SEB is one of the major virulence factors regulated by a quorum-sensing mechanism in the setting of staphylococcal infections caused by antibioticresistant strains. These high-risk community-acquired infections, which may lead to NMTSS, occur with increasing frequency as compared with the greater than 2 million hospitalacquired infections recorded annually in the United States (3, 4). Strikingly, SEB induces a fatal respiratory distress syndrome in non-human primates, suggesting its potential use as a bioweapon on the battlefield or in mass civilian settings (5, 6). Potential air-borne, water-borne, and food-borne use of SEB led to its designation by the United States Centers for Disease Control as a category B agent.In terms of its mechanism of action, SEB is avidly bound by the T cell receptor V chain and by major histocompatibility complex class II proteins on dendritic cells or macrophages (7-9). The resulting intercellular "synapse" generated by SEB engagement leads to excessive production of the inflammatory cytokines tumor necrosis factor ␣ (TNF␣), interferon ␥ (IFN␥), interleukin (IL)-1, IL-2, and IL-6. T cell-produced inflammatory cytokines contribute to massive vascular injury, organ failure, and depending on the mode of exposure potentially lethal respiratory distress syndrome or toxic shock (1, 2, 5, 6). Active immunization prior to SEB exposure and passive immunization immediately after exposure are not readily available (6). We have designed an alternative approach to antibodymediated neutralization of SEB and related toxins by targeting a common step in their intracellular signaling to the nucleus required for inflammatory cytokine gene expression.The genes that encode inflamm...