Macrophages from elders are more permissive to intracellular multiplication of Mycobacterium tuberculosis

José M Guerra-Laso1, Sandra González-García, Carolina González-Cortés

  • 1Servicio de Medicina Interna, Hospital de León, Altos de Nava s/n, 24008, León, Spain.

Insights

Elderly individuals are more susceptible to tuberculosis due to impaired immune responses in macrophages. Interferon-gamma (IFN-γ) shows potential in restricting mycobacterium tuberculosis growth in elders.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Gerontology

Background:

  • Tuberculosis (TB) disproportionately affects the elderly, with population aging alone not fully explaining this trend.
  • Investigating the immunological basis for increased TB susceptibility in older adults is crucial.

Purpose of the Study:

  • To investigate the immunological factors contributing to the heightened susceptibility of the elderly to tuberculosis (TB).
  • To identify potential therapeutic targets for TB in older populations.

Main Methods:

  • In vitro infection experiments using macrophages from elderly and younger adults.
  • Measurement of cytokine production (IL-6, IL-1β, TNF-α) and reactive oxygen species.
  • Assessment of Mycobacterium tuberculosis growth within macrophages.
  • Factorial experiment to evaluate the role of interferons (IFN-γ).
  • Analysis of protein tyrosine phosphorylation and kinase activity (Pyk2) using protein arrays.
  • Treatment with tyrosine kinase inhibitors (genistein, PP2).

Main Results:

  • Macrophages from elders produced more IL-6 and reactive oxygen species but supported increased M. tuberculosis multiplication.
  • IFN-γ, but not other tested cytokines, restricted bacterial growth in elder macrophages.
  • Protein tyrosine phosphorylation response to M. tuberculosis was weaker in elders, with Pyk2 showing significantly lower activity.
  • Tyrosine kinase inhibitors enhanced bacterial growth in elder monocytes.
  • Soy isoflavones (genistein, daidzein) unexpectedly promoted intracellular mycobacterial growth.

Conclusions:

  • Impaired protein tyrosine phosphorylation and altered cytokine responses in elder macrophages contribute to TB susceptibility.
  • IFN-γ may play a role in controlling M. tuberculosis in the elderly.
  • Targeting tyrosine kinases could be a potential therapeutic strategy, but caution is needed with compounds like genistein.