Shigella flexneri kills macrophages through apoptosis, involving the i
nduction of host cell DNA fragmentation and characteristic morphologic
al changes. Shigella can only cause damage it it escapes from the phag
olysosome into the cytoplasm. The S. flexneri cytotoxic genes have bee
n localized to the ipa operon of shigella's virulence plasmid. ipaB, C
and D deletion mutants are not invasive and therefore not cytotoxic.
In order to distinguish genes involved in the escape from the phagolys
osome as distinct from cytotoxicity, we constructed Shigella strains t
hat secrete law amounts of Escherichia call haemolysin (hly(low)). The
se strains can escape into the cytoplasm of the macrophage even in the
absence of the invasion plasmid as verified by electron microscopy an
d resistance to chloroquine. Macrophages were infected with different
ipa mutants expressing hly(low). Both Delta ipaC hly(low) and Delta ip
aD hly(low) were cytotoxic whilst Delta ipa hly(low) and a hly(low) st
rain cured of shigella's pathogenicity plasmid were not. Furthermore,
both Delta ipaC hly(low) and Delta ipaD hly(low) killed through apopto
sis as shown by both changes in ultrastructural morphology and fragmen
tation of the host cell DNA. These results demonstrate that ipaB is es
sential for S. flexneri to induce apoptosis in macrophages.