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An Inorganic Stimulator of Interferon Genes Sensitizer for the Metalloimmunotherapy of Intracellular Bacterial
Chuang Yang1, Nannan Zheng2, Yao Luo1
1Department of Orthopaedics, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China.
Abstract:
Bone infections associated with the formation of intracellular bacterial niches in macrophages and bone cells play an important role in the long-lasting nature of chronic infections. One major mechanism of intracellular bacterial persistence lies in the low antibiotic permeability and subverted immune responses. It is now increasingly apparent that metal elements such as Mn, Zn, and Se exploit the stimulator of interferon genes (STING) pathway in immune cells to combat invading pathogens and intrinsic aberrant cells. Here, we report a prototype of bacterial metalloimmunotherapy using a synthetic inorganic STING sensitizer (SSZ), which comprises Se-loaded mesoporous silica nanoparticles and ZnO quantum dot lids. Mechanistically, the inorganic STING sensitizer could restore the bactericidal activity of lysosomes in macrophages and generate type I interferons, achieving effective intracellular bacterial clearance. Topical application of the inorganic STING sensitizer initiated robust antibacterial immunity, leading to obvious therapeutic efficacy toward both intracellular bacteria and biofilms in a mouse osteomyelitis model. Rechallenging the SSZ-cured mice with bacteria led to effective inhibition of bacterial growth, suggesting the generation of long-term antibacterial memory responses. This antibacterial strategy was also proven effective in a rabbit knee prosthetic infection model. Overall, the inorganic STING sensitizer offers an alternative approach for intracellular bacterial treatments, and this underscores the great potential of metalloimmunotherapy for infectious diseases.
Insights
This study introduces a novel inorganic STING sensitizer (SSZ) for treating chronic bone infections. SSZ effectively clears intracellular bacteria by restoring immune cell function and generating long-term antibacterial memory.
Area of Science:
- Immunology
- Nanotechnology
- Infectious Diseases
Background:
- Chronic bone infections persist due to intracellular bacterial niches within macrophages and bone cells.
- Low antibiotic penetration and suppressed immune responses contribute to bacterial persistence.
- Metal elements like manganese (Mn), zinc (Zn), and selenium (Se) can modulate the stimulator of interferon genes (STING) pathway for pathogen defense.
Purpose of the Study:
- To develop and evaluate a synthetic inorganic STING sensitizer (SSZ) for treating intracellular bacterial infections.
- To investigate the mechanism of action of SSZ in restoring immune cell bactericidal activity.
- To assess the therapeutic efficacy of SSZ in preclinical models of osteomyelitis and prosthetic joint infections.
Main Methods:
- A synthetic inorganic STING sensitizer (SSZ) was designed using Se-loaded mesoporous silica nanoparticles and ZnO quantum dot lids.
- The SSZ's mechanism involved restoring lysosomal bactericidal activity and inducing type I interferons in macrophages.
- Efficacy was tested in mouse osteomyelitis and rabbit prosthetic joint infection models, including biofilm eradication and assessment of long-term immune memory.
Main Results:
- The SSZ effectively cleared intracellular bacteria by restoring macrophage bactericidal function and promoting type I interferon production.
- Topical application of SSZ demonstrated significant therapeutic efficacy against intracellular bacteria and biofilms in a mouse osteomyelitis model.
- SSZ-treated mice exhibited inhibited bacterial regrowth upon re-challenge, indicating the development of long-term antibacterial memory responses.
- The antibacterial strategy proved effective in a rabbit prosthetic joint infection model.
Conclusions:
- The inorganic STING sensitizer (SSZ) represents a promising metalloimmunotherapy approach for intracellular bacterial infections.
- SSZ restores immune cell function to combat persistent bacterial infections, offering an alternative to conventional antibiotics.
- This study highlights the potential of metalloimmunotherapy for treating challenging infectious diseases, including chronic bone infections.
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