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Macrophage Epithelial Reprogramming Underlies Mycobacterial Granuloma Formation and Promotes Infection.

Mark R Cronan1, Rebecca W Beerman1, Allison F Rosenberg1

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Mycobacterium tuberculosis infection causes macrophages to adopt epithelial traits, forming granulomas. Disrupting this epithelial transition in macrophages improves host survival by altering infection dynamics.

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Area of Science:

  • Immunology
  • Cell Biology
  • Infectious Diseases

Background:

  • Tuberculosis (TB) is characterized by granulomas, organized immune cell aggregates.
  • Macrophage morphology changes within granulomas, but underlying molecular mechanisms are unknown.

Purpose of the Study:

  • To investigate the molecular and cellular programs driving macrophage reprogramming during mycobacterial granuloma formation.
  • To determine the role of epithelial reprogramming in granuloma structure and function.

Main Methods:

  • Utilized the zebrafish-Mycobacterium marinum infection model.
  • Analyzed macrophage-specific E-cadherin function disruption.
  • Examined granuloma structure, immune cell infiltration, bacterial burden, and host survival.

Main Results:

  • Mycobacterial infection induced epithelial molecules and structures in macrophages.
  • Macrophage reprogramming paralleled mesenchymal-epithelial transitions.
  • Disrupting E-cadherin in macrophages led to disordered granulomas, increased immune cell access, reduced bacterial load, and enhanced host survival.
  • Similar macrophage transformation was observed in human tuberculosis granulomas.

Conclusions:

  • Granuloma macrophages undergo significant reprogramming, adopting epithelial characteristics.
  • E-cadherin-mediated epithelial transition in macrophages plays a crucial role in granuloma formation and influences infection outcome.
  • The granuloma's structure, driven by macrophage epithelial reprogramming, can paradoxically protect bacteria, but disrupting this can benefit the host.