Endoplasmic reticulum stress pathway-mediated apoptosis in macrophages contributes to the survival of Mycobacterium tuberculosis
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Updated: May 26, 2026

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Published on: February 28, 2025
Yun-Ji Lim1, Ji-Ae Choi, Hong-Hee Choi
1Department of Microbiology, College of Medicine, Chungnam National University, Daejeon, South Korea.
Background:
Apoptosis is thought to play a role in host defenses against intracellular pathogens, including Mycobacterium tuberculosis (Mtb), by preventing the release of intracellular components and the spread of mycobacterial infection. This study aims to investigate the role of endoplasmic reticulum (ER) stress mediated apoptosis in mycobacteria infected macrophages.
Methodology/Principal Findings:
Here, we demonstrate that ER stress-induced apoptosis is associated with Mtb H37Rv-induced cell death of Raw264.7 murine macrophages. We have shown that Mtb H37Rv induced apoptosis are involved in activation of caspase-12, which resides on the cytoplasmic district of the ER. Mtb infection increase levels of other ER stress indicators in a time-dependent manner. Phosphorylation of eIF2α was decreased gradually after Mtb H37Rv infection signifying that Mtb H37Rv infection may affect eIF2α phosphorylation in an attempt to survive within macrophages. Interestingly, the survival of mycobacteria in macrophages was enhanced by silencing CHOP expression. In contrast, survival rate of mycobacteria was reduced by phosphorylation of the eIF2α. Futhermore, the levels of ROS, NO or CHOP expression were significantly increased by live Mtb H37Rv compared to heat-killed Mtb H37Rv indicating that live Mtb H37Rv could induce ER stress response.
Conclusion/Significance:
These findings indicate that eIF2α/CHOP pathway may influence intracellular survival of Mtb H37Rv in macrophages and only live Mtb H37Rv can induce ER stress response. The data support the ER stress pathway plays an important role in the pathogenesis and persistence of mycobacteria.
Insights
Mycobacterium tuberculosis (Mtb) induces endoplasmic reticulum (ER) stress and apoptosis in macrophages. The eIF2α/CHOP pathway influences Mtb survival, with live Mtb triggering ER stress responses crucial for pathogenesis.
Area of Science:
- Cellular microbiology
- Immunology
- Pathogenesis
Background:
- Apoptosis is a host defense mechanism against intracellular pathogens like Mycobacterium tuberculosis (Mtb).
- Endoplasmic reticulum (ER) stress is implicated in cellular responses to Mtb infection.
Purpose of the Study:
- To investigate the role of ER stress-mediated apoptosis in Mtb-infected macrophages.
- To elucidate the mechanisms by which Mtb manipulates ER stress pathways for survival.
Main Methods:
- Utilized Raw264.7 murine macrophages infected with Mtb H37Rv.
- Assessed ER stress indicators, apoptosis markers (caspase-12), and protein phosphorylation (eIF2α).
- Investigated the impact of silencing CHOP and modulating eIF2α phosphorylation on Mtb survival.
Main Results:
- Mtb H37Rv infection induced ER stress and apoptosis in macrophages, involving caspase-12 activation.
- Mtb infection decreased eIF2α phosphorylation and enhanced mycobacterial survival upon CHOP silencing.
- Live Mtb H37Rv significantly increased ROS, NO, and CHOP expression, indicating ER stress induction.
Conclusions:
- The eIF2α/CHOP pathway is critical for intracellular Mtb survival within macrophages.
- Only live Mtb H37Rv effectively induces ER stress responses.
- The ER stress pathway plays a significant role in Mtb pathogenesis and persistence.
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