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ESAT-6 Modulates Macrophage Apoptosis in Mycobacterium Tuberculosis via lncNEAT1/miR-125b-5p/TNF-α Pathway
Zulipikaer Abudureheman1, Hui Gong1, Tuerhongjiang Axirejiang2
1Department of Clinical Research Center of Infectious Diseases (Tuberculosis), First People's Hospital of Kashi, Kashi, XinJiang, People's Republic of China.
Infection and Drug Resistance
|December 24, 2025
Summary
Tuberculosis (TB) is a global threat. This study reveals that Mycobacterium tuberculosis's ESAT-6 protein induces macrophage apoptosis via the lncNEAT1/miR-125b-5p/TNF-α pathway, offering a potential therapeutic target for TB.
Area of Science:
- Immunology
- Molecular Biology
- Microbiology
Background:
- Tuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb), is a major global health concern.
- Mtb utilizes secretory proteins like Early secreted antigenic target 6 kDa (ESAT-6) to evade host immunity and promote infection.
- The precise mechanism by which ESAT-6 induces macrophage apoptosis, aiding Mtb dissemination, remains unclear.
Purpose of the Study:
- To elucidate the molecular mechanism underlying ESAT-6-induced macrophage apoptosis.
- To investigate the role of Long non-coding RNA nuclear enriched abundant transcript 1 (lncNEAT1) in this process.
- To identify potential therapeutic targets for TB treatment.
Main Methods:
- Human monocytic leukemia (THP-1) cells were differentiated into macrophages.
- Recombinant ESAT-6 was used to induce apoptosis, assessed by Annexin V-FITC/propidium iodide staining and flow cytometry.
- Small interfering RNA (siRNA) was employed to silence lncNEAT1 expression.
- RT-qPCR and Western blot were used to quantify gene and protein expression (lncNEAT1, miR-125b-5p, TNF-α).
- Bioinformatics and luciferase reporter assays explored regulatory mechanisms.
Main Results:
- ESAT-6 induced macrophage apoptosis in a dose-dependent manner.
- ESAT-6 upregulated lncNEAT1 expression.
- lncNEAT1 was found to target miR-125b-5p, which in turn targets the 3'UTR of TNF-α mRNA.
- Inhibition of lncNEAT1 attenuated ESAT-6-induced apoptosis by modulating the miR-125b-5p/TNF-α axis.
Conclusions:
- ESAT-6 triggers macrophage apoptosis through the lncNEAT1/miR-125b-5p/TNF-α pathway.
- This pathway represents a novel mechanism of Mtb virulence.
- Targeting the lncNEAT1/miR-125b-5p/TNF-α axis offers a potential therapeutic strategy for TB.
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