TCA cycle remodeling drives proinflammatory signaling in humans with pulmonary tuberculosis.

The metabolic signaling pathways that drive pathologic tissue inflammation and damage in humans with pulmonary tuberculosis (TB) are not well understood. Using combined methods in plasma high-resolution metabolomics, lipidomics and cytokine profiling from a multicohort study of humans with pulmonary...

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Autores principales: Jeffrey M Collins, Dean P Jones, Ashish Sharma, Manoj Khadka, Ken H Liu, Russell R Kempker, Brendan Prideaux, Kristal Maner-Smith, Nestani Tukvadze, N Sarita Shah, James C M Brust, Rafick-Pierre Sékaly, Neel R Gandhi, Henry M Blumberg, Eric A Ortlund, Thomas R Ziegler
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Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/5db2ee9eac9d436d93d78e7b9402b4da
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spelling oai:doaj.org-article:5db2ee9eac9d436d93d78e7b9402b4da2021-12-02T20:00:06ZTCA cycle remodeling drives proinflammatory signaling in humans with pulmonary tuberculosis.1553-73661553-737410.1371/journal.ppat.1009941https://doaj.org/article/5db2ee9eac9d436d93d78e7b9402b4da2021-09-01T00:00:00Zhttps://doi.org/10.1371/journal.ppat.1009941https://doaj.org/toc/1553-7366https://doaj.org/toc/1553-7374The metabolic signaling pathways that drive pathologic tissue inflammation and damage in humans with pulmonary tuberculosis (TB) are not well understood. Using combined methods in plasma high-resolution metabolomics, lipidomics and cytokine profiling from a multicohort study of humans with pulmonary TB disease, we discovered that IL-1β-mediated inflammatory signaling was closely associated with TCA cycle remodeling, characterized by accumulation of the proinflammatory metabolite succinate and decreased concentrations of the anti-inflammatory metabolite itaconate. This inflammatory metabolic response was particularly active in persons with multidrug-resistant (MDR)-TB that received at least 2 months of ineffective treatment and was only reversed after 1 year of appropriate anti-TB chemotherapy. Both succinate and IL-1β were significantly associated with proinflammatory lipid signaling, including increases in the products of phospholipase A2, increased arachidonic acid formation, and metabolism of arachidonic acid to proinflammatory eicosanoids. Together, these results indicate that decreased itaconate and accumulation of succinate and other TCA cycle intermediates is associated with IL-1β-mediated proinflammatory eicosanoid signaling in pulmonary TB disease. These findings support host metabolic remodeling as a key driver of pathologic inflammation in human TB disease.Jeffrey M CollinsDean P JonesAshish SharmaManoj KhadkaKen H LiuRussell R KempkerBrendan PrideauxKristal Maner-SmithNestani TukvadzeN Sarita ShahJames C M BrustRafick-Pierre SékalyNeel R GandhiHenry M BlumbergEric A OrtlundThomas R ZieglerPublic Library of Science (PLoS)articleImmunologic diseases. AllergyRC581-607Biology (General)QH301-705.5ENPLoS Pathogens, Vol 17, Iss 9, p e1009941 (2021)
institution DOAJ
collection DOAJ
language EN
topic Immunologic diseases. Allergy
RC581-607
Biology (General)
QH301-705.5
spellingShingle Immunologic diseases. Allergy
RC581-607
Biology (General)
QH301-705.5
Jeffrey M Collins
Dean P Jones
Ashish Sharma
Manoj Khadka
Ken H Liu
Russell R Kempker
Brendan Prideaux
Kristal Maner-Smith
Nestani Tukvadze
N Sarita Shah
James C M Brust
Rafick-Pierre Sékaly
Neel R Gandhi
Henry M Blumberg
Eric A Ortlund
Thomas R Ziegler
TCA cycle remodeling drives proinflammatory signaling in humans with pulmonary tuberculosis.
description The metabolic signaling pathways that drive pathologic tissue inflammation and damage in humans with pulmonary tuberculosis (TB) are not well understood. Using combined methods in plasma high-resolution metabolomics, lipidomics and cytokine profiling from a multicohort study of humans with pulmonary TB disease, we discovered that IL-1β-mediated inflammatory signaling was closely associated with TCA cycle remodeling, characterized by accumulation of the proinflammatory metabolite succinate and decreased concentrations of the anti-inflammatory metabolite itaconate. This inflammatory metabolic response was particularly active in persons with multidrug-resistant (MDR)-TB that received at least 2 months of ineffective treatment and was only reversed after 1 year of appropriate anti-TB chemotherapy. Both succinate and IL-1β were significantly associated with proinflammatory lipid signaling, including increases in the products of phospholipase A2, increased arachidonic acid formation, and metabolism of arachidonic acid to proinflammatory eicosanoids. Together, these results indicate that decreased itaconate and accumulation of succinate and other TCA cycle intermediates is associated with IL-1β-mediated proinflammatory eicosanoid signaling in pulmonary TB disease. These findings support host metabolic remodeling as a key driver of pathologic inflammation in human TB disease.
format article
author Jeffrey M Collins
Dean P Jones
Ashish Sharma
Manoj Khadka
Ken H Liu
Russell R Kempker
Brendan Prideaux
Kristal Maner-Smith
Nestani Tukvadze
N Sarita Shah
James C M Brust
Rafick-Pierre Sékaly
Neel R Gandhi
Henry M Blumberg
Eric A Ortlund
Thomas R Ziegler
author_facet Jeffrey M Collins
Dean P Jones
Ashish Sharma
Manoj Khadka
Ken H Liu
Russell R Kempker
Brendan Prideaux
Kristal Maner-Smith
Nestani Tukvadze
N Sarita Shah
James C M Brust
Rafick-Pierre Sékaly
Neel R Gandhi
Henry M Blumberg
Eric A Ortlund
Thomas R Ziegler
author_sort Jeffrey M Collins
title TCA cycle remodeling drives proinflammatory signaling in humans with pulmonary tuberculosis.
title_short TCA cycle remodeling drives proinflammatory signaling in humans with pulmonary tuberculosis.
title_full TCA cycle remodeling drives proinflammatory signaling in humans with pulmonary tuberculosis.
title_fullStr TCA cycle remodeling drives proinflammatory signaling in humans with pulmonary tuberculosis.
title_full_unstemmed TCA cycle remodeling drives proinflammatory signaling in humans with pulmonary tuberculosis.
title_sort tca cycle remodeling drives proinflammatory signaling in humans with pulmonary tuberculosis.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/5db2ee9eac9d436d93d78e7b9402b4da
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