Abstract The obligate intracellular bacterium, Coxiella burnetii, causes human Q fever. Infection with Coxiella via inhalation presents as atypical pneumonia which may relapse years later, leading to potentially fatal endocarditis. Our goal is to determine the mechanisms Coxiella employs for long-term survival in the host. While the bacterium initially infects alveolar macrophages, in endocarditis patients Coxiella is found in foamy macrophages rich in neutral lipid storage organelles, lipid droplets (LDs). Our studies show that blocking LD breakdown inhibits bacterial growth suggesting that LD-derived lipids are crucial for Coxiella’s survival. LD breakdown releases arachidonic acids, precursors for the lipid immune mediator prostaglandinE2 (PGE2) which promotes immunosuppression in alveolar macrophages. We hypothesize that Coxiella manipulates host cell LD metabolism to promote a PGE2-mediated immunosuppressive environment and survive long-term in the host. To test this, we quantified PGE2 production in Coxiella-infected cells with and without LD breakdown inhibitor, atglistatin. ELISA showed a LD breakdown-dependent increase in PGE2 levels. Fluorescence microscopy revealed PGE2 production blockade with COX-2 inhibitors significantly decreased bacterial growth which was rescued by exogenous PGE2 suggesting that PGE2 promotes Coxiella survival. Ongoing studies are identifying the correlation between LDs and PGE2 production and the role of LDs in immunosuppression.
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