This study was designed to investigate the protective effect of the autophagy signaling pathway against
Mycobacterium tuberculosis infection in type II alveolar epithelial cells. An in vitro M.
tuberculosis system was established using human A549 cells.
Infection-induced changes in the expression of the autophagic marker LC3 were assessed by reverse transcription-PCR and Western blotting. Morphological changes in autophagosomes were detected by transmission electron microscopy (TEM). The function of the autophagy signaling pathway during
infection was assessed by measuring the level of cell death and the amount of
lactate dehydrogenase (LDH) released in the presence or absence of the inhibitor
3-methyladenine (3-MA). In addition, effects on LDH release were assessed after the
siRNA-mediated knockdown of the essential autophagosomal structural
membrane protein Atg5. LC3
mRNA expression was significantly reduced in M.
tuberculosis-infected A549 cells (16888.76 ± 1576.34 vs. uninfected: 12744.29 ± 1089.37; P < 0.05). TEM revealed M.
tuberculosis bacilli-containing compartments that were surrounded by double membranes characteristic of the autophagic process. M.
tuberculosis-infected A549 cells released more LDH (1.45 ± 0.12 vs. uninfected: 0.45 ± 0.04; P < 0.05). The inhibition of autophagy signaling significantly enhanced M.
tuberculosis-induced
necrosis (3-MA: 75 ± 5% vs. untreated: 15 ± 1%; P < 0.05) and LDH release (3-MA: 2.50 ± 0.24 vs. untreated: 0.45 ± 0.04; Atg5 knockdown: 3.19 ± 0.29 vs. untreated: 1.28 ± 0.11; P < 0.05). Our results indicate that autophagy signaling pathway prevents apoptosis in type II alveolar epithelial cells infected with M.
tuberculosis and may represent a molecular target for promoting cell survival during
infection by respiratory pathogens.