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Published on: March 28, 2025
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Cathepsin Z is a conserved susceptibility factor underlying tuberculosis severity.
Rachel K Meade1,2, Oyindamola O Adefisayo1, Marco T P Gontijo1
1Department of Molecular Genetics and Microbiology, Duke University, Durham, North Carolina, United States of America.
Plos Biology
|September 9, 2025
Summary
Tuberculosis severity is linked to the cathepsin Z (CTSZ) gene. CTSZ influences inflammation and bacterial load in mice and humans, highlighting a conserved pathway in TB disease progression.
Area of Science:
- Genetics and Immunology
- Host-Pathogen Interactions
- Animal Models of Disease
Background:
- Tuberculosis (TB) presents diverse clinical outcomes, but existing animal models often fail to capture human variability.
- Genetically diverse mouse models, like the Collaborative Cross panel, offer potential for studying TB disease facets and identifying genetic determinants.
- Previous work mapped a TB susceptibility locus on mouse chromosome 2.
Purpose of the Study:
- To identify the specific gene underlying a previously mapped TB susceptibility locus on mouse chromosome 2.
- To investigate the role of cathepsin Z (Ctsz) in TB pathogenesis and disease severity in both murine models and human populations.
- To explore the conserved CTSZ-CXCL1 axis in mediating TB disease severity.
Main Methods:
- Genetic mapping in Collaborative Cross mice to identify candidate genes for TB susceptibility.
- Functional studies involving Ctsz gene ablation in mice to assess its impact on bacterial burden, inflammation, and survival.
- In vitro experiments with murine macrophages to analyze Ctsz's effect on chemokine production (CXCL1).
- Genetic association studies in a Ugandan cohort to link CTSZ variants with TB disease severity.
- Histopathological examination of human TB granulomas to determine CTSZ localization.
Main Results:
- Cathepsin Z (Ctsz) was identified as a key candidate gene for TB susceptibility.
- Ctsz deficiency in mice resulted in increased bacterial load, heightened pulmonary inflammation, and reduced survival.
- Disruption of Ctsz in macrophages enhanced the production of chemokine (C-X-C motif) ligand 1 (CXCL1).
- Significant associations were found between CTSZ variants and TB disease severity in a human cohort.
- CTSZ was localized to macrophages within human TB granulomas, indicating its presence at the host-pathogen interface.
Conclusions:
- Cathepsin Z plays a critical role in modulating TB disease severity.
- A conserved CTSZ-CXCL1 axis in both mice and humans contributes to TB pathogenesis.
- Understanding the role of CTSZ offers potential therapeutic targets for managing TB disease severity.
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