Autophagy in Mycobacterium tuberculosis infection: a passepartout to flush the intruder out?

Delia Goletti1, Elisa Petruccioli, Alessandra Romagnoli

  • 1Translational Research Unit, Department of Epidemiology and Preclinical Research, INMI, Rome, Italy.

Insights

Mycobacterium tuberculosis evades autophagy, a key immune process, and exploits it for survival. Autophagy also plays a role in drug efficacy against tuberculosis.

Area of Science:

  • Cellular Biology
  • Immunology
  • Microbiology

Background:

  • Tuberculosis (TB), caused by Mycobacterium tuberculosis (M. tuberculosis), is a significant global health issue.
  • M. tuberculosis establishes latent infections by evading host immune responses.
  • Autophagy is a crucial cellular degradation pathway involved in immunity against intracellular pathogens.

Purpose of the Study:

  • To review the molecular strategies M. tuberculosis uses to subvert autophagy.
  • To explore how M. tuberculosis manipulates autophagy for its own benefit.
  • To discuss autophagy's multifaceted roles in anti-TB immunity and drug action.

Main Methods:

  • Literature review focusing on molecular mechanisms of M. tuberculosis-autophagy interaction.
  • Analysis of studies on autophagy's role in innate and adaptive immunity to tuberculosis.
  • Examination of research on autophagy's impact on the efficacy of anti-TB drugs.

Main Results:

  • M. tuberculosis employs specific mechanisms to resist autophagic clearance.
  • The bacterium hijacks the autophagy pathway to enhance its survival and persistence.
  • Autophagy contributes to immune responses against M. tuberculosis and potentiates drug activity.

Conclusions:

  • Understanding M. tuberculosis's manipulation of autophagy is key to combating latent infections.
  • Autophagy represents a potential therapeutic target for tuberculosis treatment.
  • Further research into autophagy's role can lead to novel strategies for TB drug development.

Related Concept Videos

Autophagy01:27

Autophagy

Autophagy is a self-digesting process by which a cell protects itself from threats both within and outside the cell, ranging from abnormal proteins to invading bacteria. In this process, obsolete components of the cell and invading microbes are degraded by hydrolytic enzymes active in an acidic environment of the lysosomal lumen.
An autophagic pathway consists of a series of signaling events activated in response to diverse stress and physiological conditions such as food deprivation,...
Pulmonary Tuberculosis II01:28

Pulmonary Tuberculosis II

Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Defense Against Bacterial Pathogens01:31

Defense Against Bacterial Pathogens

The human immune system is a complex network of cells, tissues, and organs that work together to defend the body against bacterial infections. It consists of various immune cells, each playing a specific role in the defense mechanism.
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Delivery Pathways to the Lysosome01:36

Delivery Pathways to the Lysosome

Eukaryotic cells use different mechanisms to eliminate toxic waste obsolete and worn-out substances. Lysosomes play a pivotal role in this, and hence, these substances are carried to the lysosome from other parts of the cell and extracellular space through different pathways. The most elaborately studied pathways to the lysosome are the endocytic pathways.
Endocytosis
In endocytosis, the cell membrane takes up macromolecules and particles from the surrounding medium. Clathrin-mediated...
Colonisation of Pathogens01:25

Colonisation of Pathogens

Pathogen colonization of host tissues is a critical step in the development of infectious diseases. Various pathogenic microorganisms, including bacteria, fungi, viruses, and protozoa, have evolved complex strategies to attach to, invade, and persist within host environments. These mechanisms enable pathogens to establish infections, evade immune responses, and resist antimicrobial treatments.Attachment to Host CellsIn bacteria, colonization typically begins with adherence to host epithelial...
Phagocytosis of Apoptotic Cells01:17

Phagocytosis of Apoptotic Cells

Cells undergoing apoptosis form apoptotic bodies that must be removed immediately to prevent inflammation, autoimmune diseases, and necrosis. Phagocytosis is carried out by professional phagocytes such as macrophages or  immature dendritic cells. Non-professional phagocytes such as  epithelial cells and fibroblasts also take part in this process; however, they are not as effective as professional phagocytes. 
Normal cells contain receptors that prevent them from being recognized by phagocytes.