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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.
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