Abstract The public health crisis of antimicrobial resistance is especially challenging due to the rapid pace of bacterial adaptation to antibiotics. Thus, development of alternatives to antibiotic-based therapies are crucial. We found that stimulation of murine macrophage TLR2/6 heterodimer with Pam2CSK4 (PAM2), a synthetic bacterial lipoprotein, enhanced clearance of subsequent Staphylococcus aureus infection. Whole lung RNA sequencing identified tumor necrosis factor receptor superfamily member 1B (TNFRSF1B, TNFR2) and its cognate cytokine, TNFα, to be upregulated in response to PAM2. ELISA and qPCR data showed both bioactive forms of TNFα, transmembrane (tmTNFα) and soluble (sTNFα), to be upregulated. To mechanistically address the role that TNFR2 could play in PAM2 induced enhanced bacterial clearance (EBC) ability, antibody blocking of TNFR2 led to reduced macrophage S. aureus clearance. In contrast, sTNFα reduction by small molecule inhibition of ADAM17, the enzyme that cleaves tmTNFα to sTNFα, did not reduce macrophage EBC ability. These data suggest tmTNFα signaling via TNFR2 may have a protective effect which enhances S. aureus clearance. Our work aims to elucidate TLR signaling events through which enhancement of existing host bacterial resolution mechanisms can be achieved. As such, we are investigating whether/how tmTNFα:TNFR2 initiates intracellular signaling pathways that may contribute to upregulation of macrophage mechanisms to enhance pathogen clearance. An in-depth understanding of these signaling events could facilitate development of novel treatment strategies designed to modulate and enhance hostimmune responses against pathogens, which could be leveraged to circumvent antimicrobial resistance.
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