Spatially-distinct programming of macrophage diversity within the granulomas of Mycobacterium tuberculosis infected

Davide Pisu1, Persis S Sunny2,3,4, Molly L Nelson2

  • 1Department of Microbiology and Immunology, College of Veterinary Medicine, Cornell University, Ithaca, NY.

Insights

Macrophages in tuberculosis (TB) granulomas show diverse subtypes. Certain tissue-resident and transitioning macrophages are highly susceptible to Mycobacterium tuberculosis (Mtb) infection, influencing disease progression.

Area of Science:

  • Immunology
  • Cell Biology
  • Infectious Diseases

Background:

  • Tuberculosis (TB) pathogenesis involves granulomas, where macrophages play a critical role.
  • The diversity and function of macrophages in TB lesions remain incompletely understood.
  • Understanding macrophage heterogeneity is key to developing effective TB immunotherapies.

Purpose of the Study:

  • To profile macrophage subsets within lung granulomas during early TB.
  • To investigate the spatial distribution and infection susceptibility of different macrophage types.
  • To identify molecular pathways exploited by Mycobacterium tuberculosis (Mtb) within host macrophages.

Main Methods:

  • Single-cell RNA sequencing of lung tissue and granulomas from a nonhuman primate TB model.
  • Immunofluorescence staining to determine macrophage localization and phenotype.
  • Comparative gene expression analysis between infected and uninfected macrophages.

Main Results:

  • Identified distinct macrophage subsets, including embryonic-origin tissue-resident alveolar macrophages and monocyte-derived macrophages, with specific granuloma localization.
  • Tissue-resident alveolar macrophages and a subset undergoing epithelial-to-mesenchymal transition showed the highest Mtb burden.
  • Infected macrophages displayed altered expression of immune and migration genes, suggesting Mtb manipulation for survival.

Conclusions:

  • Macrophage heterogeneity significantly influences susceptibility to Mtb infection.
  • Distinct macrophage subsets have differential roles in TB granuloma formation and bacterial containment.
  • Findings provide insights into potential immunomodulatory targets for TB treatment.