p53 signalling controls cell cycle arrest and caspase-independent apoptosis in macrophages infected with pathogenic Leptospira species
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Updated: May 13, 2026

Evaluation of Caspase Activation to Assess Innate Immune Cell Death
Published on: January 20, 2023
Weilin Hu1, Yumei Ge, David M Ojcius
1Division of Basic Medical Microbiology, State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310003, China; Department of Medical Microbiology and Parasitology, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310058, China.
Abstract:
Pathogenic Leptospira species, the causative agents of leptospirosis, have been shown to induce macrophage apoptosis through caspase-independent, mitochondrion-related apoptosis inducing factor (AIF) and endonuclease G (EndoG), but the signalling pathway leading to AIF/EndoG-based macrophage apoptosis remains unknown. Here we show that infection of Leptospira interrogans caused a rapid increase in reactive oxygen species (ROS), DNA damage, and intranuclear foci of 53BP1 and phosphorylation of H2AX (two DNAdamage indicators) in wild-type p53-containing mouse macrophages and p53-deficient human macrophages. Most leptospire-infected cells stayed at the G1 phase, whereas depletion or inhibition of p53 caused a decrease of the G1 -phase cells and the early apoptotic ratios. Infection with spirochaetes stimulated a persistent activation of p53 and an early activation of Akt through phosphorylation. The intranuclear translocation of p53, increased expression of p53-dependent p21(Cip) (1/) (WAF) (1) and pro-apoptotic Bcl-2 family proteins (Bax, Noxa and Puma), release of AIF and EndoG from mitochondria, and membrane translocation of Fas occurred during leptospire-induced macrophage apoptosis. Thus, our study demonstrated that ROS production and DNA damage-dependent p53-Bax/Noxa/Puma-AIF/EndoG signalling mediates the leptospire-induced cell cycle arrest and caspase-independent apoptosis of macrophages.
Insights
Pathogenic Leptospira bacteria trigger macrophage death via a pathway involving reactive oxygen species (ROS) and DNA damage. This process activates p53, leading to caspase-independent apoptosis mediated by apoptosis inducing factor (AIF) and endonuclease G (EndoG).
Area of Science:
- Microbiology
- Cell Biology
- Immunology
Background:
- Pathogenic Leptospira species cause leptospirosis, inducing macrophage apoptosis via caspase-independent pathways involving apoptosis inducing factor (AIF) and endonuclease G (EndoG).
- The precise signaling cascade initiating AIF/EndoG-mediated macrophage apoptosis during Leptospira infection is not fully understood.
Purpose of the Study:
- To elucidate the signaling pathway responsible for Leptospira-induced, caspase-independent macrophage apoptosis.
- To investigate the roles of reactive oxygen species (ROS), DNA damage, and p53 in this apoptotic process.
Main Methods:
- Infection of mouse and human macrophages with Leptospira interrogans.
- Assessment of ROS production, DNA damage markers (53BP1, H2AX phosphorylation), cell cycle progression, and apoptosis.
- Analysis of p53 activation, Akt phosphorylation, and the expression/translocation of key proteins including p21, Bax, Noxa, Puma, AIF, EndoG, and Fas.
Main Results:
- Leptospira infection rapidly increased ROS, induced DNA damage, and caused G1 cell cycle arrest in macrophages.
- p53 activation was sustained, while Akt phosphorylation occurred early; p53 depletion reduced G1 arrest and apoptosis.
- Intranuclear p53 translocation, increased p21 and pro-apoptotic protein expression (Bax, Noxa, Puma), mitochondrial release of AIF/EndoG, and Fas translocation were observed.
Conclusions:
- Leptospira-induced macrophage apoptosis is mediated by a signaling pathway involving ROS production and DNA damage.
- This pathway is dependent on p53 activation, leading to the upregulation of Bax/Noxa/Puma and subsequent caspase-independent apoptosis via AIF/EndoG release.
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