Alveolar macrophage apoptosis-associated bacterial killing helps prevent murine pneumonia

<p><strong>RATIONALE:</strong> Antimicrobial resistance challenges therapy of pneumonia. Enhancing macrophage microbicidal responses would combat this problem but is limited by our understanding of how alveolar macrophages (AM) kill bacteria.</p> <p><strong>OBJECT...

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Main Authors: Preston, J, Bewley, M, Marriott, H, Houghton, A, Mohasin, M, Jubrail, J, Morris, L, Stephenson, Y, Cross, S, Greaves, D, Craig, R, Van Rooijen, N, Bingle, C, Read, R, Mitchell, T, Whyte, M, Shapiro, S, Dockrell, D
Format: Journal article
Language:English
Published: American Thoracic Society 2019
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author Preston, J
Bewley, M
Marriott, H
Houghton, A
Mohasin, M
Jubrail, J
Morris, L
Stephenson, Y
Cross, S
Greaves, D
Craig, R
Van Rooijen, N
Bingle, C
Read, R
Mitchell, T
Whyte, M
Shapiro, S
Dockrell, D
author_facet Preston, J
Bewley, M
Marriott, H
Houghton, A
Mohasin, M
Jubrail, J
Morris, L
Stephenson, Y
Cross, S
Greaves, D
Craig, R
Van Rooijen, N
Bingle, C
Read, R
Mitchell, T
Whyte, M
Shapiro, S
Dockrell, D
author_sort Preston, J
collection OXFORD
description <p><strong>RATIONALE:</strong> Antimicrobial resistance challenges therapy of pneumonia. Enhancing macrophage microbicidal responses would combat this problem but is limited by our understanding of how alveolar macrophages (AM) kill bacteria.</p> <p><strong>OBJECTIVES:</strong> To define the role and mechanism of AM apoptosis-associated bacterial killing in the lung.</p> <p><strong>METHODS:</strong> We generated a unique CD68.hMcl-1 transgenic mouse with macrophage-specific over-expression of the human anti-apoptotic Mcl-1 protein, a factor upregulated in AM from patients at increased risk of community-acquired pneumonia, to address the requirement for apoptosis-associated killing.</p> <p><strong>MEASUREMENTS AND MAIN RESULTS:</strong> Wild-type and transgenic macrophages demonstrated comparable ingestion and initial phagolysosomal killing of bacteria. Continued ingestion (for &gt; 12 h) overwhelmed initial killing and a second late-phase microbicidal response killed viable bacteria in wild-type macrophages, but this response was blunted in CD68.hMcl-1 transgenic macrophages. The late-phase of bacterial killing required both caspase-induced generation of mitochondrial reactive oxygen species (mROS) and nitric oxide (NO), whose peak generation coincided with the late-phase of killing. The CD68.hMcl-1 transgene prevented mROS but not NO generation. Apoptosis-associated killing enhanced pulmonary clearance of Streptococcus pneumoniae and Haemophilus influenzae in wild-type but not CD68.hMcl-1 transgenic mice. Bacterial clearance was enhanced in vivo in CD68.hMcl-1 transgenic mice by reconstitution of apoptosis with BH3 mimetics or clodronate-encapsulated liposomes. Apoptosis-associated killing was not activated during Staphylococcus aureus lung infection.</p> <p><strong>CONCLUSIONS:</strong> Mcl-1 upregulation prevents macrophage apoptosis-associated killing and establishes that apoptosis-associated killing is required to allow AM to clear ingested bacteria. Engagement of macrophage apoptosis should be investigated as a novel host-based antimicrobial strategy.</p>
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spelling oxford-uuid:8ac9794a-3595-4c0c-b77a-a383c4ad1ddb2022-03-26T22:33:57ZAlveolar macrophage apoptosis-associated bacterial killing helps prevent murine pneumoniaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8ac9794a-3595-4c0c-b77a-a383c4ad1ddbEnglishSymplectic Elements at OxfordAmerican Thoracic Society2019Preston, JBewley, MMarriott, HHoughton, AMohasin, MJubrail, JMorris, LStephenson, YCross, SGreaves, DCraig, RVan Rooijen, NBingle, CRead, RMitchell, TWhyte, MShapiro, SDockrell, D<p><strong>RATIONALE:</strong> Antimicrobial resistance challenges therapy of pneumonia. Enhancing macrophage microbicidal responses would combat this problem but is limited by our understanding of how alveolar macrophages (AM) kill bacteria.</p> <p><strong>OBJECTIVES:</strong> To define the role and mechanism of AM apoptosis-associated bacterial killing in the lung.</p> <p><strong>METHODS:</strong> We generated a unique CD68.hMcl-1 transgenic mouse with macrophage-specific over-expression of the human anti-apoptotic Mcl-1 protein, a factor upregulated in AM from patients at increased risk of community-acquired pneumonia, to address the requirement for apoptosis-associated killing.</p> <p><strong>MEASUREMENTS AND MAIN RESULTS:</strong> Wild-type and transgenic macrophages demonstrated comparable ingestion and initial phagolysosomal killing of bacteria. Continued ingestion (for &gt; 12 h) overwhelmed initial killing and a second late-phase microbicidal response killed viable bacteria in wild-type macrophages, but this response was blunted in CD68.hMcl-1 transgenic macrophages. The late-phase of bacterial killing required both caspase-induced generation of mitochondrial reactive oxygen species (mROS) and nitric oxide (NO), whose peak generation coincided with the late-phase of killing. The CD68.hMcl-1 transgene prevented mROS but not NO generation. Apoptosis-associated killing enhanced pulmonary clearance of Streptococcus pneumoniae and Haemophilus influenzae in wild-type but not CD68.hMcl-1 transgenic mice. Bacterial clearance was enhanced in vivo in CD68.hMcl-1 transgenic mice by reconstitution of apoptosis with BH3 mimetics or clodronate-encapsulated liposomes. Apoptosis-associated killing was not activated during Staphylococcus aureus lung infection.</p> <p><strong>CONCLUSIONS:</strong> Mcl-1 upregulation prevents macrophage apoptosis-associated killing and establishes that apoptosis-associated killing is required to allow AM to clear ingested bacteria. Engagement of macrophage apoptosis should be investigated as a novel host-based antimicrobial strategy.</p>
spellingShingle Preston, J
Bewley, M
Marriott, H
Houghton, A
Mohasin, M
Jubrail, J
Morris, L
Stephenson, Y
Cross, S
Greaves, D
Craig, R
Van Rooijen, N
Bingle, C
Read, R
Mitchell, T
Whyte, M
Shapiro, S
Dockrell, D
Alveolar macrophage apoptosis-associated bacterial killing helps prevent murine pneumonia
title Alveolar macrophage apoptosis-associated bacterial killing helps prevent murine pneumonia
title_full Alveolar macrophage apoptosis-associated bacterial killing helps prevent murine pneumonia
title_fullStr Alveolar macrophage apoptosis-associated bacterial killing helps prevent murine pneumonia
title_full_unstemmed Alveolar macrophage apoptosis-associated bacterial killing helps prevent murine pneumonia
title_short Alveolar macrophage apoptosis-associated bacterial killing helps prevent murine pneumonia
title_sort alveolar macrophage apoptosis associated bacterial killing helps prevent murine pneumonia
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