Potentiation of P2RX7 as a host-directed strategy for control of mycobacterial infection

Mycobacterium tuberculosis is the leading worldwide cause of death due to a single infectious agent. Existing anti-tuberculous therapies require long treatments and are complicated by multi-drug-resistant strains. Host-directed therapies have been proposed as an orthogonal approach, but few have mov...

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Main Authors: Molly A Matty, Daphne R Knudsen, Eric M Walton, Rebecca W Beerman, Mark R Cronan, Charlie J Pyle, Rafael E Hernandez, David M Tobin
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2019-01-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/39123
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author Molly A Matty
Daphne R Knudsen
Eric M Walton
Rebecca W Beerman
Mark R Cronan
Charlie J Pyle
Rafael E Hernandez
David M Tobin
author_facet Molly A Matty
Daphne R Knudsen
Eric M Walton
Rebecca W Beerman
Mark R Cronan
Charlie J Pyle
Rafael E Hernandez
David M Tobin
author_sort Molly A Matty
collection DOAJ
description Mycobacterium tuberculosis is the leading worldwide cause of death due to a single infectious agent. Existing anti-tuberculous therapies require long treatments and are complicated by multi-drug-resistant strains. Host-directed therapies have been proposed as an orthogonal approach, but few have moved into clinical trials. Here, we use the zebrafish-Mycobacterium marinum infection model as a whole-animal screening platform to identify FDA-approved, host-directed compounds. We identify multiple compounds that modulate host immunity to limit mycobacterial disease, including the inexpensive, safe, and widely used drug clemastine. We find that clemastine alters macrophage calcium transients through potentiation of the purinergic receptor P2RX7. Host-directed drug activity in zebrafish larvae depends on both P2RX7 and inflammasome signaling. Thus, targeted activation of a P2RX7 axis provides a novel strategy for enhanced control of mycobacterial infections. Using a novel explant model, we find that clemastine is also effective within the complex granulomas that are the hallmark of mycobacterial infection.
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spelling doaj.art-8861276875c848aca98d4ec17b2b452f2022-12-22T03:51:09ZengeLife Sciences Publications LtdeLife2050-084X2019-01-01810.7554/eLife.39123Potentiation of P2RX7 as a host-directed strategy for control of mycobacterial infectionMolly A Matty0https://orcid.org/0000-0002-4542-2800Daphne R Knudsen1Eric M Walton2Rebecca W Beerman3Mark R Cronan4Charlie J Pyle5Rafael E Hernandez6https://orcid.org/0000-0003-4408-7411David M Tobin7https://orcid.org/0000-0003-3465-5518Department of Molecular Genetics and Microbiology, Duke University School of Medicine, Durham, United States; University Program in Genetics and Genomics, Duke University, Durham, United StatesDepartment of Molecular Genetics and Microbiology, Duke University School of Medicine, Durham, United StatesDepartment of Molecular Genetics and Microbiology, Duke University School of Medicine, Durham, United StatesDepartment of Molecular Genetics and Microbiology, Duke University School of Medicine, Durham, United StatesDepartment of Molecular Genetics and Microbiology, Duke University School of Medicine, Durham, United StatesDepartment of Molecular Genetics and Microbiology, Duke University School of Medicine, Durham, United StatesCenter for Global Infectious Disease Research, Seattle Children’s Research Institute, Seattle, United States; Department of Pediatrics, University of Washington, Seattle, United StatesDepartment of Molecular Genetics and Microbiology, Duke University School of Medicine, Durham, United States; Department of Immunology, Duke University School of Medicine, Durham, United StatesMycobacterium tuberculosis is the leading worldwide cause of death due to a single infectious agent. Existing anti-tuberculous therapies require long treatments and are complicated by multi-drug-resistant strains. Host-directed therapies have been proposed as an orthogonal approach, but few have moved into clinical trials. Here, we use the zebrafish-Mycobacterium marinum infection model as a whole-animal screening platform to identify FDA-approved, host-directed compounds. We identify multiple compounds that modulate host immunity to limit mycobacterial disease, including the inexpensive, safe, and widely used drug clemastine. We find that clemastine alters macrophage calcium transients through potentiation of the purinergic receptor P2RX7. Host-directed drug activity in zebrafish larvae depends on both P2RX7 and inflammasome signaling. Thus, targeted activation of a P2RX7 axis provides a novel strategy for enhanced control of mycobacterial infections. Using a novel explant model, we find that clemastine is also effective within the complex granulomas that are the hallmark of mycobacterial infection.https://elifesciences.org/articles/39123mycobacteriumhost-directed therapiesphenotypic drug screeningzebrafishlight sheet microscopyp2rx7
spellingShingle Molly A Matty
Daphne R Knudsen
Eric M Walton
Rebecca W Beerman
Mark R Cronan
Charlie J Pyle
Rafael E Hernandez
David M Tobin
Potentiation of P2RX7 as a host-directed strategy for control of mycobacterial infection
eLife
mycobacterium
host-directed therapies
phenotypic drug screening
zebrafish
light sheet microscopy
p2rx7
title Potentiation of P2RX7 as a host-directed strategy for control of mycobacterial infection
title_full Potentiation of P2RX7 as a host-directed strategy for control of mycobacterial infection
title_fullStr Potentiation of P2RX7 as a host-directed strategy for control of mycobacterial infection
title_full_unstemmed Potentiation of P2RX7 as a host-directed strategy for control of mycobacterial infection
title_short Potentiation of P2RX7 as a host-directed strategy for control of mycobacterial infection
title_sort potentiation of p2rx7 as a host directed strategy for control of mycobacterial infection
topic mycobacterium
host-directed therapies
phenotypic drug screening
zebrafish
light sheet microscopy
p2rx7
url https://elifesciences.org/articles/39123
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