Apoptosis is an innate defense function of macrophages against Mycobacterium tuberculosis

S M Behar1, C J Martin, M G Booty

  • 1Division of Rheumatology, Immunology, and Allergy, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Mucosal Immunology
|February 11, 2011
PubMed

Insights

Virulent Mycobacterium tuberculosis (Mtb) manipulates macrophage cell death pathways by altering eicosanoid signaling. This promotes necrosis, allowing Mtb to evade host defenses and spread.

Area of Science:

  • Immunology
  • Cell Biology
  • Microbiology

Background:

  • Macrophages infected with Mycobacterium tuberculosis (Mtb) exhibit two cell death forms: necrosis (lysis) and apoptosis (intact membrane).
  • Necrosis aids Mtb dissemination, while apoptosis reduces pathogen viability.
  • Apoptosis involves caspase activation via extrinsic (TNF-activated) and intrinsic (mitochondrial) pathways.

Purpose of the Study:

  • To investigate the role of eicosanoids, prostaglandin E(2) (PGE(2)) and lipoxin A(4) (LXA(4)), in regulating Mtb-induced macrophage cell death.
  • To understand how virulent Mtb subverts host cell death mechanisms.

Main Methods:

  • Analysis of macrophage cell death modalities (necrosis vs. apoptosis) in response to Mtb infection.
  • Assessment of eicosanoid production (PGE(2) and LXA(4)) during infection.
  • Investigation of the impact of eicosanoids on cell death pathways and Mtb survival.

Main Results:

  • Eicosanoids regulate Mtb-induced macrophage death: PGE(2) is proapoptotic, LXA(4) is pronecrotic.
  • Virulent Mtb actively suppresses PGE(2) and promotes LXA(4) production.
  • This eicosanoid imbalance leads to mitochondrial damage and macrophage necrosis.

Conclusions:

  • Virulent Mtb exploits eicosanoid signaling to induce macrophage necrosis, thereby evading crucial innate immune responses.
  • Targeting eicosanoid pathways could represent a novel therapeutic strategy against tuberculosis.

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