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Updated: Jun 4, 2026

Experimental Analysis of Apoptotic Thymocyte Engulfment by Macrophages
Published on: May 24, 2019
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.
Abstract:
Two different forms of death are commonly observed when Mycobacterium tuberculosis (Mtb)-infected macrophages die: (i) necrosis, a death modality defined by cell lysis and (ii) apoptosis, a form of death that maintains an intact plasma membrane. Necrosis is a mechanism used by bacteria to exit the macrophage, evade host defenses, and spread. In contrast, apoptosis of infected macrophages is associated with diminished pathogen viability. Apoptosis occurs when tumor necrosis factor activates the extrinsic death domain pathway, leading to caspase-8 activation. In addition, mitochondrial outer membrane permeabilization leading to activation of the intrinsic apoptotic pathway is required. Both pathways lead to caspase-3 activation, which results in apoptosis. We have recently demonstrated that during mycobacterial infection, cell death is regulated by the eicosanoids, prostaglandin E(2) (proapoptotic) and lipoxin (LX)A(4) (pronecrotic). Although PGE(2) protects against necrosis, virulent Mtb induces LXA(4) and inhibits PGE(2) production. Under such conditions, mitochondrial inner membrane damage leads to macrophage necrosis. Thus, virulent Mtb subverts eicosanoid regulation of cell death to foil innate defense mechanisms of the macrophage.
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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