Abstract

Mycobacterium tuberculosis (Mtb) survives under oxidatively hostile environments encountered inside host phagocytes. To protect itself from oxidative stress, Mtb produces millimolar concentrations of mycothiol (MSH), which functions as a major cytoplasmic redox buffer. Here, we introduce a novel system for real-time imaging of mycothiol redox potential (EMSH) within Mtb cells during infection. We demonstrate that coupling of Mtb MSH-dependent oxidoreductase (mycoredoxin-1; Mrx1) to redox-sensitive GFP (roGFP2; Mrx1-roGFP2) allowed measurement of dynamic changes in intramycobacterial EMSH with unprecedented sensitivity and specificity. Using Mrx1-roGFP2, we report the first quantitative measurements of EMSH in diverse mycobacterial species, genetic mutants, and drug-resistant patient isolates. These cellular studies reveal, for the first time, that the environment inside macrophages and sub-vacuolar compartments induces heterogeneity in EMSH of the Mtb population. Further application of this new biosensor demonstrates that treatment of Mtb infected macrophage with anti-tuberculosis (TB) drugs induces oxidative shift in EMSH, suggesting that the intramacrophage milieu and antibiotics cooperatively disrupt the MSH homeostasis to exert efficient Mtb killing. Lastly, we analyze the membrane integrity of Mtb cells with varied EMSH during infection and show that subpopulation with higher EMSH are susceptible to clinically relevant antibiotics, whereas lower EMSH promotes antibiotic tolerance. Together, these data suggest the importance of MSH redox signaling in modulating mycobacterial survival following treatment with anti-TB drugs. We anticipate that Mrx1-roGFP2 will be a major contributor to our understanding of redox biology of Mtb and will lead to novel strategies to target redox metabolism for controlling Mtb persistence.

Highlights

  • It is estimated that nearly 2 billion people currently suffer from latent Mycobacterium tuberculosis (Mtb) infection and,1.4 million people succumb to tuberculosis (TB) annually [1] and [www.who. int/tb]

  • 30% of the global population is infected with Mycobacterium tuberculosis (Mtb)

  • We have successfully developed a novel and noninvasive tool based on genetically encoded redox sensitive fluorescent probes to perform realtime measurement of mycothiol redox potential (EMSH) in Mtb during infection

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Summary

Introduction

It is estimated that nearly 2 billion people currently suffer from latent Mycobacterium tuberculosis (Mtb) infection and ,1.4 million people succumb to tuberculosis (TB) annually [1] and [www.who. int/tb]. Mtb is engulfed by macrophages, and exposed to antimicrobial redox stresses including reactive oxygen and nitrogen species (ROS and RNS) [2]. Mycobacterial killing by ROS and RNS is important for host resistance as demonstrated by the increased susceptibility of NADPH oxidase (NOX2) and nitric oxide synthase (iNOS) deficient mice following Mtb challenge [3,4]. Children with defective NOX2 suffer from chronic granulomatous disease, are susceptible to TB and even develop severe complications after vaccination with BCG [5]. Consistent with these observations, a recent study elegantly demonstrated the requirement of NADPH oxidase in exerting neutrophil-mediated killing of mycobacteria during infection [6]

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