pH Alkalinization by Chloroquine Suppresses Pathogenic Burkholderia Type 6 Secretion System 1 and Multinucleated

Jennifer Chua1, Jeffrey L Senft2, Stephen J Lockett3

  • 1Bacteriology Division, United States Army Medical Research Institute of Infectious Diseases, Frederick, Maryland, USA Jennifer.Chua.ctr@mail.mil Arthur.M.Friedlander.civ@mail.mil.

Infection and Immunity
|November 2, 2016
PubMed

Insights

Chloroquine diphosphate (CLQ) inhibits Burkholderia growth and virulence by neutralizing acidic environments essential for bacterial escape and protein expression. CLQ enhances survival in infected Madagascar hissing cockroaches, suggesting its potential as a therapeutic agent.

Area of Science:

  • Microbiology
  • Pathogenesis
  • Drug Discovery

Background:

  • * Burkholderia mallei and B. pseudomallei cause glanders and melioidosis, respectively.
  • * Pathogenesis involves granuloma formation with multinucleated giant cells (MNGCs) and cell death, dependent on type 6 secretion system 1 (T6SS-1).

Purpose of the Study:

  • * To investigate the cell biology of MNGC formation and cell death in Burkholderia infections.
  • * To evaluate the effect of chloroquine diphosphate (CLQ) on Burkholderia growth, virulence, and host survival.

Main Methods:

  • * Assessed the impact of CLQ and other alkalinizing compounds on bacterial growth, phagosomal escape, and MNGC formation.
  • * Analyzed the expression of virulence factors, including T6SS-1 and type 3 secretion system 3 (T3SS-3) effectors, under varying pH conditions.
  • * Evaluated CLQ's efficacy in a Madagascar hissing cockroach model of Burkholderia infection.

Main Results:

  • * CLQ inhibits Burkholderia growth, phagosomal escape, and MNGC formation by neutralizing acidic pH.
  • * CLQ suppresses the expression of T6SS-1 and T3SS-3 virulence proteins, which are upregulated at acidic pH.
  • * CLQ treatment significantly increases survival rates in infected Madagascar hissing cockroaches.

Conclusions:

  • * CLQ exhibits multifaceted inhibition of Burkholderia virulence through pH neutralization and suppression of key secretion systems.
  • * CLQ demonstrates potential as an adjunctive therapy for glanders and melioidosis, warranting further clinical investigation.