Granulocytic myeloid-derived suppressor cell activity during biofilm infection is regulated by a glycolysis/HIF1a

Christopher M Horn1, Prabhakar Arumugam1, Zachary Van Roy1

  • 1Department of Pathology, Microbiology, and Immunology and.

PubMed

Insights

Staphylococcus aureus prosthetic joint infections (PJI) involve myeloid-derived suppressor cells (MDSCs) that promote inflammation. Targeting their metabolism, specifically glycolysis and hypoxia response, reduced bacterial burden in a PJI mouse model.

Area of Science:

  • Immunology
  • Microbiology
  • Metabolic Engineering

Background:

  • Staphylococcus aureus is a major cause of prosthetic joint infections (PJI), often becoming chronic.
  • Granulocytic myeloid-derived suppressor cells (G-MDSCs) are key players in chronic PJI, fostering an anti-inflammatory environment that supports biofilm persistence.

Purpose of the Study:

  • To investigate the metabolic pathways within G-MDSCs that contribute to the chronicity of Staphylococcus aureus PJI.
  • To explore the potential of targeting G-MDSC metabolism to treat S. aureus PJI.

Main Methods:

  • Single-cell RNA sequencing (scRNA-Seq) and bioinformatic metabolic algorithms were employed to analyze G-MDSC metabolism in a mouse model of S. aureus PJI.
  • Pharmacological inhibition of glycolysis (using 2-deoxyglucose) and genetic targeting of the hypoxia-inducible factor 1-alpha (HIF1a) pathway in granulocytes were utilized in vivo.
  • scRNA-Seq was also performed on granulocytes from human PJI patients.

Main Results:

  • G-MDSCs in S. aureus PJI exhibited significantly enriched glycolysis and hypoxia response pathways.
  • Interfering with glycolysis and HIF1a in vivo attenuated G-MDSC immunosuppression and reduced bacterial load in the PJI mouse model.
  • Analysis of human PJI patient granulocytes confirmed enrichment of glycolysis and hypoxia-response genes.

Conclusions:

  • The glycolysis/HIF1a axis is crucial for G-MDSC-mediated immunosuppression and biofilm persistence in S. aureus PJI.
  • Targeting this metabolic axis presents a potential therapeutic strategy for managing chronic S. aureus prosthetic joint infections.

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