The invasion process of T. spiralis exhibits a highly intricate and multileveled feature, encompassing parasitic life cycles, immune evasion mechanisms, molecular interactions, and genetic regulations. Dissecting the invasion mechanisms of T. spiralis can provide critical insights into the pivotal steps during infection. Throughout the course of evolution, T. spiralis has developed diverse invasion strategies, particularly leveraging its ESPs, which play a pivotal role not only in inter-parasite communication but also in interacting with host cells and evading host immune rejection [22, 23]. The study focuses on a key component of the ESPs of T. spiralis—SPIs—aiming to unravel their potential roles in the parasite’s breach of the host intestinal mucosal barrier and successful establishment of parasitism.
Intestinal epithelial cells (IECs) constitute the first line of physical defense in the gut, safeguarding against luminal antigens, toxins, and harmful substances while actively participating in intestinal mucosal immune responses [24]. They are also the crucial juncture that T. spiralis must traverse during invasion. The study initially probed into the impact of T. spiralis invasion on intestinal mucosal barrier function. By establishing an infection model, the pathological changes in the jejunum of mice infected with T. spiralis were evaluated at various days post-infection (0, 1, 3, 7, 15 dpi). Results indicated that marked jejunal tissue lesions, characterized by extensive villus exfoliation and disruption, accompanied by a substantial infiltration of inflammatory cells, were evident on the 3 dpi. A double-blinded pathological scoring system revealed that lesion scores peaked on the 7 dpi, aligning with the parasitic life cycle within the host, suggesting that this timepoint represents the peak of T. spiralis-induced intestinal tissue damage.
TJs, as crucial intercellular structures, are indispensable for maintaining the functional integrity and stability of the intestinal epithelial barrier [25]. Their functionality relies on intricate and precise interactions among a series of TJ proteins, including members of the claudin, zonula occludens, and TAMP families [26]. Numerous studies have demonstrated that parasites and their products can directly interact with IECs, modulating the expression of TJ proteins, thereby facilitating parasite intracellular parasitism [27, 28]. The study explored the effects of T. spiralis infection on TJ proteins in the host jejunum at different time points. The results revealed that T. spiralis infection significantly downregulated the expression of several key TJ proteins (ZO-1, Occludin, and Claudin-3) in the host jejunum. Specifically, ZO-1 expression decreased significantly early in infection (at dpi 1), whereas Occludin and Claudin-3 levels significantly declined from 3 dpi, reaching their nadir on 7 dpi. This indicates that T. spiralis infection gradually disrupts the intestinal mucosal barrier, with the most severe damage occurring within the first week post-infection.
TLRs, an integral part of the innate immune system, are widely expressed in IECs, immune cells, and other cell types in the gut, crucial for maintaining intestinal barrier function and regulating immune responses [29]. Additionally, mucins exert multifaceted effects on IEC barrier function, including enhancing chemical barriers, maintaining physical barriers, and modulating immune responses, collectively safeguarding intestinal homeostasis and immunity [30]. The study investigated the regulatory effects of T. spiralis infection on two crucial innate immune modalities within the intestinal barrier—TLRs and mucins. Results showed that MUC-1 and MUC-2 expression levels significantly decreased from day 1 post-infection, with this downward trend persisting until day 7, reaching their lowest expression levels. This suggests that T. spiralis infection may impair the mucin barrier of the intestinal mucosa, inhibiting MUC-1 and MUC-2 expression. In contrast, the expression levels of TLR-1, TLR-2, and TLR-4 exhibited an inverse trend compared to mucins. Notably, although the study observed upregulated Toll-like receptor expression, the authors’ previous work found that T. spiralis exosomes possessed the capacity to downregulate Toll-like receptor expression [31]. This intriguing contrast hints at the existence of complex immune regulatory mechanisms during T. spiralis infection, meriting further investigation.
Inflammatory factors impact the integrity and permeability of the intestinal barrier through various mechanisms. For instance, inflammatory factors such as TNF-α and IL-1β can affect TJs in intestinal epithelial cells, thereby increasing their permeability [32]. Conversely, IL-10 protects the intestinal epithelial barrier function from damage by inhibiting the production and activity of inflammatory cytokines [33]. The intensification of inflammation observed in histological sections of the jejunum post-T. spiralis infection was closely related to changes in the expression of inflammatory cytokines. Analysis revealed that TNF-α and IL-1β, important proinflammatory cytokines, exhibited a gradual increase at different days post-infection (1, 3, 7, 15 dpi), peaking on the 7th day. This suggests that as the infection progresses, the host’s inflammatory response gradually intensifies to counter the invasion of T. spiralis. However, on the 15 dpi, the expression levels of TNF-α and IL-1β decreased significantly compared to the 7 dpi, potentially indicating the onset of the resolution phase of the inflammatory response. In contrast to proinflammatory factors, anti-inflammatory cytokines such as TGF-β and IL-10 exhibited a gradual decline in expression during the initial stages of infection, with a recovery observed on the 15th day post-infection. This suggests that as the infection is gradually controlled, the host's anti-inflammatory mechanisms begin to restore and function, balancing and regulating the immune response, promoting tissue repair and restoration.
Serine protease inhibitors are essential components of T. spiralis ESPs, possessing unique biological functions. Previous studies in our laboratory had definitively confirmed that during the invasion of the host by T. spiralis, its secreted serine protease inhibitors could trigger a series of significant phenotypic changes in host cells, such as significantly enhancing endoplasmic reticulum stress [17], and initiating and enhancing autophagy [34]. Subsequently, the study constructed in vitro models of the interaction between two recombinant proteins (rKaSPI and rAdSPI) and IPECs, and further established in vivo models of their effects in mice. By assessing the impact of rKaSPI and rAdSPI on the expression of TJs, mucins, TLRs, and inflammatory cytokines in IPECs and mouse jejunum tissues, the study aimed to thoroughly elucidate the specific mechanisms by which these factors influence intestinal barrier function. Results indicated that both rKaSPI and rAdSPI exhibited regulatory effects on specific gene expression in both cellular and animal models. They collectively downregulated the expression levels of tight junction proteins (e.g., ZO-1, Occludin, Claudin-3), mucins (MUC-1, MUC-2), and anti-inflammatory factors (TGF-β, IL-10), while upregulating the expression of TLR-4 and proinflammatory factors (IL-1β, TNF-α). This pattern of changes was highly consistent with the observed gene expression changes in the jejunum tissues of mice infected with T. spiralis, revealing the crucial roles of rKaSPI and rAdSPI in the invasion process of T. spiralis and their significant impact on intestinal mucosal barrier function. Further observations also noted that while both rKaSPI and rAdSPI promoted TLR-4 expression, T. spiralis infection also involves the regulation of TLR-1 and TLR-2 expression, highlighting the complexity of the parasite’s infection mechanism. When comparing the specific effects of rKaSPI and rAdSPI on gene expression, rAdSPI exhibited a more pronounced regulatory effect, which may be related to the specificity of different life cycle stages of T. spiralis. Considering that AdSPI originates from adult worms parasitizing the small intestine, while KaSPI comes from muscle larvae parasitizing muscle tissue, this difference may explain the stronger efficacy of rAdSPI in influencing small intestine-related gene expression.
In summary, T. spiralis infection in the host led to jejunal tissue lesions, accompanied by significant decreases in the expression of tight junction proteins (e.g., ZO-1, Occludin, Claudin-3) and mucins (MUC-1, MUC-2), along with upregulated Toll-like receptor expression and intensified inflammatory responses. Further in-depth research had revealed that two important proteins secreted by T. spiralis—KaSPI and AdSPI—played pivotal roles in this process. By reducing the levels of tight junction proteins and mucins, they disrupted the tight junction state of the host intestine, subsequently affecting innate immune responses, promoting the expression of Toll-like receptors, and facilitating the release of inflammatory factors (e.g., IL-1β, TNF-α), ultimately weakening the intestinal mucosal barrier function. The study not only clarifies the specific roles of KaSPI and AdSPI in the infection mechanism of T. spiralis but also provides valuable insights into how the parasite successfully invades the host.