Abstract

Mycobacterium kansasii has emerged as an important nontuberculous mycobacterium pathogen, whose incidence and prevalence have been increasing in the last decade. M. kansasii can cause pulmonary tuberculosis clinically and radiographically indistinguishable from that caused by Mycobacterium tuberculosis infection. Unlike the widely-studied M. tuberculosis, little is known about the innate immune response against M. kansasii infection. Although inflammasome activation plays an important role in host defense against bacterial infection, its role against atypical mycobacteria remains poorly understood. In this report, the role of inflammasome activity in THP-1 macrophages against M. kansasii infection was studied. Results indicated that viable, but not heat-killed, M. kansasii induced caspase-1-dependent IL-1β secretion in macrophages. The underlying mechanism was found to be through activation of an inflammasome containing the NLR (Nod-like receptor) family member NLRP3 and the adaptor protein ASC (apoptosis-associated speck-like protein containing a CARD). Further, potassium efflux, lysosomal acidification, ROS production and cathepsin B release played a role in M. kansasii-induced inflammasome activation. Finally, the secreted IL-1β derived from caspase-1 activation was shown to restrict intracellular M. kansasii. These findings demonstrate a biological role for the NLRP3 inflammasome in host defense against M. kansasii.

Highlights

  • Mycobacterium kansasii is an acid-fast bacillus that has emerged as an important pathogen of the group of nontuberculous mycobacteria (NTM)

  • We demonstrated that live and intracellular M. kansasii can trigger caspase-1 activation and IL-1b secretion from human macrophages by activating the NLRP3/ASC inflammasome

  • The precise mechanisms behind responsible for NLRP3/ASC inflammasome activation are still under investigation, our results suggest that M. kansasii infection of macrophages can induce potassium efflux, cathepsin B release and reactive oxygen species (ROS) production, all of which are involved in NLRP3/ASC inflammasome activation

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Summary

Introduction

Mycobacterium kansasii is an acid-fast bacillus that has emerged as an important pathogen of the group of nontuberculous mycobacteria (NTM). It is the second most-common nontuberculous opportunistic mycobacterial infection linked with AIDS, surpassed only by Mycobacterium avium complex (MAC) [1,2,3]. M. kansasii infects both immunocompetent and immunocompromised patients [4,5,6,7,8,9]. Disseminated M. kansasii infections commonly occur, especially in immunocompromised patients with advanced AIDS [20,21]. Little is known about the innate immune response against M. kansasii infection

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