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Mycobacterium tuberculosis-driven targeted recalibration of macrophage lipid homeostasis promotes the foamy phenotype.

Abstract
Upon infection, Mycobacterium tuberculosis (Mtb) metabolically alters the macrophage to create a niche that is ideally suited to its persistent lifestyle. Infected macrophages acquire a "foamy" phenotype characterized by the accumulation of lipid bodies (LBs), which serve as both a source of nutrients and a secure niche for the bacterium. While the functional significance of the foamy phenotype is appreciated, the biochemical pathways mediating this process are understudied. We found that Mtb induces the foamy phenotype via targeted manipulation of host cellular metabolism to divert the glycolytic pathway toward ketone body synthesis. This dysregulation enabled feedback activation of the anti-lipolytic G protein-coupled receptor GPR109A, leading to perturbations in lipid homeostasis and consequent accumulation of LBs in the macrophage. ESAT-6, a secreted Mtb virulence factor, mediates the enforcement of this feedback loop. Finally, we demonstrate that pharmacological targeting of pathways mediating this host-pathogen metabolic crosstalk provides a potential strategy for developing tuberculosis chemotherapy.
AuthorsVarshneya Singh, Shilpa Jamwal, Ritu Jain, Priyanka Verma, Rajesh Gokhale, Kanury V S Rao
JournalCell host & microbe (Cell Host Microbe) Vol. 12 Issue 5 Pg. 669-81 (Nov 15 2012) ISSN: 1934-6069 [Electronic] United States
PMID23159056 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2012 Elsevier Inc. All rights reserved.
Chemical References
  • Antigens, Bacterial
  • Bacterial Proteins
  • ESAT-6 protein, Mycobacterium tuberculosis
  • HCAR2 protein, human
  • Hydroxybutyrates
  • Ketone Bodies
  • Receptors, G-Protein-Coupled
  • Receptors, Nicotinic
  • Sterol O-Acyltransferase
  • sterol O-acyltransferase 2
  • ACAT1 protein, human
  • Acetyl-CoA C-Acetyltransferase
Topics
  • Acetyl-CoA C-Acetyltransferase (genetics)
  • Animals
  • Antigens, Bacterial (metabolism)
  • Autocrine Communication
  • Bacterial Proteins (metabolism)
  • Cell Line, Tumor
  • Female
  • Homeostasis
  • Humans
  • Hydroxybutyrates (metabolism)
  • Ketone Bodies (biosynthesis)
  • Leukocytes, Mononuclear (immunology, microbiology)
  • Lipid Metabolism
  • Macrophages (metabolism, microbiology)
  • Mice
  • Mice, Inbred BALB C
  • Mycobacterium tuberculosis (immunology, pathogenicity)
  • Phenotype
  • Receptors, G-Protein-Coupled (metabolism)
  • Receptors, Nicotinic (metabolism)
  • Sterol O-Acyltransferase (genetics)

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