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Tuberculosis (TB) has tremendous public health relevance. It most frequently affects the lung and is characterized by the development of unique tissue lesions, termed granulomas. These lesions encompass various immune populations, with macrophages being most extensively investigated. Myeloid derived suppressor cells (MDSCs) have been recently identified in TB patients, both in the circulation and at the site of infection, however their interactions with Mycobacterium tuberculosis (Mtb) and their impact on granulomas remain undefined. We generated human monocytic MDSCs and observed that their suppressive capacities are retained upon Mtb infection. We employed an in vitro granuloma model, which mimics human TB lesions to some extent, with the aim of analyzing the roles of MDSCs within granulomas. MDSCs altered the structure of and affected bacterial containment within granuloma-like structures. These effects were partly controlled through highly abundant secreted IL-10. Compared to macrophages, MDSCs activated primarily the NF-κB and MAPK pathways and the latter largely contributed to the release of IL-10 and replication of bacteria within in vitro generated granulomas. Moreover, MDSCs upregulated PD-L1 and suppressed proliferation of lymphocytes, albeit with negligible effects on Mtb replication. Further comprehensive characterization of MDSCs in TB will contribute to a better understanding of disease pathogenesis and facilitate the design of novel immune-based interventions for this deadly infection.
Abstract
Cellular stress has been associated with inflammation, yet precise underlying mechanisms remain elusive. In this study, various unrelated stress inducers were employed to screen for sensors linking altered cellular homeostasis and inflammation. We identified the intracellular pattern recognition receptors NOD1/2, which sense bacterial peptidoglycans, as general stress sensors detecting perturbations of cellular homeostasis. NOD1/2 activation upon such perturbations required generation of the endogenous metabolite sphingosine‐1‐phosphate (S1P). Unlike peptidoglycan sensing via the leucine‐rich repeats domain, cytosolic S1P directly bound to the nucleotide binding domains of NOD1/2, triggering NF‐κB activation and inflammatory responses. In sum, we unveiled a hitherto unknown role of NOD1/2 in surveillance of cellular homeostasis through sensing of the cytosolic metabolite S1P. We propose S1P, an endogenous metabolite, as a novel NOD1/2 activator and NOD1/2 as molecular hubs integrating bacterial and metabolic cues.
Neutrophils in Tuberculosis: Cell Biology, Cellular Networking and Multitasking in Host Defense
(2021)
Neutrophils readily infiltrate infection foci, phagocytose and usually destroy microbes. In
tuberculosis (TB), a chronic pulmonary infection caused by Mycobacterium tuberculosis (Mtb),
neutrophils harbor bacilli, are abundant in tissue lesions, and their abundances in blood correlate
with poor disease outcomes in patients. The biology of these innate immune cells in TB is complex.
Neutrophils have been assigned host-beneficial as well as deleterious roles. The short lifespan of
neutrophils purified from blood poses challenges to cell biology studies, leaving intracellular
biological processes and the precise consequences of Mtb–neutrophil interactions ill-defined. The
phenotypic heterogeneity of neutrophils, and their propensity to engage in cellular cross-talk and
to exert various functions during homeostasis and disease, have recently been reported, and such
observations are newly emerging in TB. Here, we review the interactions of neutrophils with Mtb,
including subcellular events and cell fate upon infection, and summarize the cross-talks between
neutrophils and lung-residing and -recruited cells. We highlight the roles of neutrophils in TB
pathophysiology, discussing recent findings from distinct models of pulmonary TB, and emphasize
technical advances that could facilitate the discovery of novel neutrophil-related disease
mechanisms and enrich our knowledge of TB pathogenesis
High Na+ Environments Impair Phagocyte Oxidase-Dependent Antibacterial Activity of Neutrophils
(2021)
Infection and inflammation can augment local Na+ abundance. These increases in local Na+ levels boost proinflammatory and antimicrobial macrophage activity and can favor polarization of T cells towards a proinflammatory Th17 phenotype. Although neutrophils play an important role in fighting intruding invaders, the impact of increased Na+ on the antimicrobial activity of neutrophils remains elusive. Here we show that, in neutrophils, increases in Na+ (high salt, HS) impair the ability of human and murine neutrophils to eliminate Escherichia coli and Staphylococcus aureus. High salt caused reduced spontaneous movement, degranulation and impaired production of reactive oxygen species (ROS) while leaving neutrophil viability unchanged. High salt enhanced the activity of the p38 mitogen-activated protein kinase (p38/MAPK) and increased the interleukin (IL)-8 release in a p38/MAPK-dependent manner. Whereas inhibition of p38/MAPK did not result in improved neutrophil defense, pharmacological blockade of the phagocyte oxidase (PHOX) or its genetic ablation mimicked the impaired antimicrobial activity detected under high salt conditions. Stimulation of neutrophils with phorbol-12-myristate-13-acetate (PMA) overcame high salt-induced impairment in ROS production and restored antimicrobial activity of neutrophils. Hence, we conclude that high salt-impaired PHOX activity results in diminished antimicrobial activity. Our findings suggest that increases in local Na+ represent an ionic checkpoint that prevents excessive ROS production of neutrophils, which decreases their antimicrobial potential and could potentially curtail ROS-mediated tissue damage.
The innate immune system relies on families of pattern recognition receptors (PRRs)
that detect distinct conserved molecular motifs from microbes to initiate antimicrobial responses.
Activation of PRRs triggers a series of signaling cascades, leading to the release of pro-inflammatory
cytokines, chemokines and antimicrobials, thereby contributing to the early host defense against
microbes and regulating adaptive immunity. Additionally, PRRs can detect perturbation of cellular
homeostasis caused by pathogens and fine-tune the immune responses. Among PRRs, nucleotide
binding oligomerization domain (NOD)-like receptors (NLRs) have attracted particular interest in the
context of cellular stress-induced inflammation during infection. Recently, mechanistic insights into
the monitoring of cellular homeostasis perturbation by NLRs have been provided. We summarize
the current knowledge about the disruption of cellular homeostasis by pathogens and focus on NLRs
as innate immune sensors for its detection. We highlight the mechanisms employed by various
pathogens to elicit cytoskeleton disruption, organelle stress as well as protein translation block, point
out exemplary NLRs that guard cellular homeostasis during infection and introduce the concept of
stress-associated molecular patterns (SAMPs). We postulate that integration of information about
microbial patterns, danger signals, and SAMPs enables the innate immune system with adequate
plasticity and precision in elaborating responses to microbes of variable virulence.
BCL11B, an essential transcription factor for thymopoiesis, regulates also vital processes in post-thymic lymphocytes. Increased expression of BCL11B was recently correlated with the maturation of NK cells, whereas reduced BCL11B levels were observed in native and induced T cell subsets displaying NK cell features. We show that BCL11B-depleted CD8+ T cells stimulated with IL-15 acquired remarkable innate characteristics. These induced innate CD8+ (iiT8) cells expressed multiple innate receptors like NKp30, CD161, and CD16 as well as factors regulating migration and tissue homing while maintaining their T cell phenotype. The iiT8 cells effectively killed leukemic cells spontaneously and neuroblastoma spheroids in the presence of a tumor-specific monoclonal antibody mediated by CD16 receptor activation. These iiT8 cells integrate the innate natural killer cell activity with adaptive T cell longevity, promising an interesting therapeutic potential. Our study demonstrates that innate T cells, albeit of limited clinical applicability given their low frequency, can be efficiently generated from peripheral blood and applied for adoptive transfer, CAR therapy, or combined with therapeutic antibodies.