NAD(H) homeostasis underlies host protection mediated by glycolytic myeloid cells in tuberculosis

Abstract Mycobacterium tuberculosis (Mtb) disrupts glycolytic flux in infected myeloid cells through an unclear mechanism. Flux through the glycolytic pathway in myeloid cells is inextricably linked to the availability of NAD+, which is maintained by NAD+ salvage and lactate metabolism. Using lung t...

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Main Authors: Hayden T. Pacl, Krishna C. Chinta, Vineel P. Reddy, Sajid Nadeem, Ritesh R. Sevalkar, Kievershen Nargan, Kapongo Lumamba, Threnesan Naidoo, Joel N. Glasgow, Anupam Agarwal, Adrie J. C. Steyn
Format: Article
Language:English
Published: Nature Portfolio 2023-09-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-40545-x
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author Hayden T. Pacl
Krishna C. Chinta
Vineel P. Reddy
Sajid Nadeem
Ritesh R. Sevalkar
Kievershen Nargan
Kapongo Lumamba
Threnesan Naidoo
Joel N. Glasgow
Anupam Agarwal
Adrie J. C. Steyn
author_facet Hayden T. Pacl
Krishna C. Chinta
Vineel P. Reddy
Sajid Nadeem
Ritesh R. Sevalkar
Kievershen Nargan
Kapongo Lumamba
Threnesan Naidoo
Joel N. Glasgow
Anupam Agarwal
Adrie J. C. Steyn
author_sort Hayden T. Pacl
collection DOAJ
description Abstract Mycobacterium tuberculosis (Mtb) disrupts glycolytic flux in infected myeloid cells through an unclear mechanism. Flux through the glycolytic pathway in myeloid cells is inextricably linked to the availability of NAD+, which is maintained by NAD+ salvage and lactate metabolism. Using lung tissue from tuberculosis (TB) patients and myeloid deficient LDHA (Ldha LysM−/− ) mice, we demonstrate that glycolysis in myeloid cells is essential for protective immunity in TB. Glycolytic myeloid cells are essential for the early recruitment of multiple classes of immune cells and IFNγ-mediated protection. We identify NAD+ depletion as central to the glycolytic inhibition caused by Mtb. Lastly, we show that the NAD+ precursor nicotinamide exerts a host-dependent, antimycobacterial effect, and that nicotinamide prophylaxis and treatment reduce Mtb lung burden in mice. These findings provide insight into how Mtb alters host metabolism through perturbation of NAD(H) homeostasis and reprogramming of glycolysis, highlighting this pathway as a potential therapeutic target.
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spelling doaj.art-4e4ad46f3eb246c2ab7a16acbf265d772023-11-20T10:09:10ZengNature PortfolioNature Communications2041-17232023-09-0114111810.1038/s41467-023-40545-xNAD(H) homeostasis underlies host protection mediated by glycolytic myeloid cells in tuberculosisHayden T. Pacl0Krishna C. Chinta1Vineel P. Reddy2Sajid Nadeem3Ritesh R. Sevalkar4Kievershen Nargan5Kapongo Lumamba6Threnesan Naidoo7Joel N. Glasgow8Anupam Agarwal9Adrie J. C. Steyn10Department of Microbiology, University of Alabama at BirminghamDepartment of Microbiology, University of Alabama at BirminghamDepartment of Microbiology, University of Alabama at BirminghamDepartment of Microbiology, University of Alabama at BirminghamDepartment of Microbiology, University of Alabama at BirminghamAfrica Health Research Institute, University of KwaZulu NatalAfrica Health Research Institute, University of KwaZulu NatalAfrica Health Research Institute, University of KwaZulu NatalDepartment of Microbiology, University of Alabama at BirminghamDepartment of Medicine, Division of Nephrology, Nephrology Research and Training Center, University of Alabama at BirminghamDepartment of Microbiology, University of Alabama at BirminghamAbstract Mycobacterium tuberculosis (Mtb) disrupts glycolytic flux in infected myeloid cells through an unclear mechanism. Flux through the glycolytic pathway in myeloid cells is inextricably linked to the availability of NAD+, which is maintained by NAD+ salvage and lactate metabolism. Using lung tissue from tuberculosis (TB) patients and myeloid deficient LDHA (Ldha LysM−/− ) mice, we demonstrate that glycolysis in myeloid cells is essential for protective immunity in TB. Glycolytic myeloid cells are essential for the early recruitment of multiple classes of immune cells and IFNγ-mediated protection. We identify NAD+ depletion as central to the glycolytic inhibition caused by Mtb. Lastly, we show that the NAD+ precursor nicotinamide exerts a host-dependent, antimycobacterial effect, and that nicotinamide prophylaxis and treatment reduce Mtb lung burden in mice. These findings provide insight into how Mtb alters host metabolism through perturbation of NAD(H) homeostasis and reprogramming of glycolysis, highlighting this pathway as a potential therapeutic target.https://doi.org/10.1038/s41467-023-40545-x
spellingShingle Hayden T. Pacl
Krishna C. Chinta
Vineel P. Reddy
Sajid Nadeem
Ritesh R. Sevalkar
Kievershen Nargan
Kapongo Lumamba
Threnesan Naidoo
Joel N. Glasgow
Anupam Agarwal
Adrie J. C. Steyn
NAD(H) homeostasis underlies host protection mediated by glycolytic myeloid cells in tuberculosis
Nature Communications
title NAD(H) homeostasis underlies host protection mediated by glycolytic myeloid cells in tuberculosis
title_full NAD(H) homeostasis underlies host protection mediated by glycolytic myeloid cells in tuberculosis
title_fullStr NAD(H) homeostasis underlies host protection mediated by glycolytic myeloid cells in tuberculosis
title_full_unstemmed NAD(H) homeostasis underlies host protection mediated by glycolytic myeloid cells in tuberculosis
title_short NAD(H) homeostasis underlies host protection mediated by glycolytic myeloid cells in tuberculosis
title_sort nad h homeostasis underlies host protection mediated by glycolytic myeloid cells in tuberculosis
url https://doi.org/10.1038/s41467-023-40545-x
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