Pharmacological inhibition of host pathways enhances macrophage killing of intracellular bacterial pathogens

Ramesh Rijal1,2, Richard H Gomer2

  • 1School of Biological, Environmental, and Earth Sciences, The University of Southern Mississippi, Hattiesburg, Mississippi, USA.

Insights

Targeting specific macrophage proteins with drugs can enhance the killing of intracellular pathogens like Mycobacterium tuberculosis. This approach restores macrophage function against infections such as tuberculosis, Legionnaires

Area of Science:

  • Immunology
  • Microbiology
  • Cell Biology

Background:

  • Pathogenic bacteria like Mycobacterium tuberculosis (Mtb) evade macrophage killing by preventing phagosome acidification and fusion with lysosomes.
  • Extracellular polyphosphate (polyP) accumulated by Mtb inhibits macrophage phagosome acidification and bacterial killing.
  • Host proteins are involved in polyP's suppression of bacterial killing in Dictyostelium discoideum.

Purpose of the Study:

  • To investigate if pharmacological inhibition of human orthologues of Dictyostelium discoideum proteins can enhance macrophage killing of intracellular pathogens.
  • To determine the effect of inhibiting specific host proteins on Mtb-induced changes in macrophage function, including phagosome acidification, inflammatory markers, and autophagy.

Main Methods:

  • Pharmacological inhibition of human orthologues of Dictyostelium discoideum proteins, including P2Y1 receptors, mammalian Target of Rapamycin (mTOR), and inositol hexakisphosphate kinase.
  • Treatment of Mtb-infected human macrophages with polyP-degrading enzyme (ScPPX) and proteasome inhibitors.
  • Assessment of bacterial killing, phagosome acidification, CD54 and CD206 expression, autophagy, and proteasome activity in treated macrophages.

Main Results:

  • Inhibition of specific host proteins (P2Y1 receptors, mTOR, inositol hexakisphosphate kinase) enhanced the killing of Mtb, Legionella pneumophila, and Listeria monocytogenes by human macrophages.
  • ScPPX and certain inhibitors reversed Mtb-induced inhibition of phagosome acidification, CD54 expression, and autophagy, and increased CD54 expression in female macrophages.
  • Mtb's inhibition of proteasome activity was reversed by some, but not all, tested inhibitors.

Conclusions:

  • Pharmacological inhibition of select host proteins can restore macrophage function and enhance the killing of intracellular pathogens.
  • Targeting host factors involved in bacterial evasion mechanisms offers a potential therapeutic strategy against infections like tuberculosis, Legionnaires' disease, and listeriosis.
  • The findings suggest potential therapeutic avenues by modulating host responses to intracellular bacterial infections.

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