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2017 ; 13
(6
): e1006367
Nephropedia Template TP
gab.com Text
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Mycobacterium tuberculosis subverts negative regulatory pathways in human
macrophages to drive immunopathology
#MMPMID28570642
Brace PT
; Tezera LB
; Bielecka MK
; Mellows T
; Garay D
; Tian S
; Rand L
; Green J
; Jogai S
; Steele AJ
; Millar TM
; Sanchez-Elsner T
; Friedland JS
; Proud CG
; Elkington PT
PLoS Pathog
2017[Jun]; 13
(6
): e1006367
PMID28570642
show ga
Tuberculosis remains a global pandemic and drives lung matrix destruction to
transmit. Whilst pathways driving inflammatory responses in macrophages have been
relatively well described, negative regulatory pathways are less well defined. We
hypothesised that Mycobacterium tuberculosis (Mtb) specifically targets negative
regulatory pathways to augment immunopathology. Inhibition of signalling through
the PI3K/AKT/mTORC1 pathway increased matrix metalloproteinase-1 (MMP-1) gene
expression and secretion, a collagenase central to TB pathogenesis, and multiple
pro-inflammatory cytokines. In patients with confirmed pulmonary TB, PI3K?
expression was absent within granulomas. Furthermore, Mtb infection suppressed
PI3K? gene expression in macrophages. Interestingly, inhibition of the MNK
pathway, downstream of pro-inflammatory p38 and ERK MAPKs, also increased MMP-1
secretion, whilst suppressing secretion of TH1 cytokines. Cross-talk between the
PI3K and MNK pathways was demonstrated at the level of eIF4E phosphorylation. Mtb
globally suppressed the MMP-inhibitory pathways in macrophages, reducing levels
of mRNAs encoding PI3K?, mTORC-1 and MNK-1 via upregulation of miRNAs. Therefore,
Mtb disrupts negative regulatory pathways at multiple levels in macrophages to
drive a tissue-destructive phenotype that facilitates transmission.