The antibiotic bedaquiline activates host macrophage innate immune resistance to bacterial infection

  1. Alexandre Giraud-Gatineau
  2. Juan Manuel Coya
  3. Alexandra Maure
  4. Anne Biton
  5. Michael Thomson
  6. Elliott M Bernard
  7. Jade Marrec
  8. Maximiliano G Gutierrez
  9. Gérald Larrouy-Maumus
  10. Roland Brosch
  11. Brigitte Gicquel
  12. Ludovic Tailleux  Is a corresponding author
  1. Unit for Integrated Mycobacterial Pathogenomics, CNRS UMR 3525, Institut Pasteur, France
  2. Université Paris Diderot, Sorbonne Paris Cité, Cellule Pasteur, France
  3. Mycobacterial Genetics Unit, Institut Pasteur, France
  4. Bioinformatics and Biostatistics, Department of Computational Biology, USR 3756 CNRS, Institut Pasteur, France
  5. MRC Centre for Molecular Bacteriology and Infection, Department of Life Sciences, Faculty of Natural Sciences, Imperial College London, United Kingdom
  6. Host-Pathogen Interactions in Tuberculosis Laboratory, The Francis Crick Institute, United Kingdom
  7. Department of Tuberculosis Control and Prevention, Shenzhen Nanshan Center for Chronic Disease Control, China
9 figures, 3 tables and 3 additional files

Figures

Figure 1 with 2 supplements
BDQ modulates the response of human macrophages.

Cells from four individual donors were treated with BDQ (5 μg/mL) for 18 hr. Differentially expressed genes were identified by mRNAseq. (A) Gene ontology enrichment analysis of genes whose …

Figure 1—source data 1

Genes whose expression is upregulated in naive macrophages upon BDQ treatment.

FDR < 0.05.

https://cdn.elifesciences.org/articles/55692/elife-55692-fig1-data1-v1.xlsx
Figure 1—source data 2

Genes whose expression is downregulated in naive macrophages upon BDQ treatment.

FDR < 0.05.

https://cdn.elifesciences.org/articles/55692/elife-55692-fig1-data2-v1.xlsx
Figure 1—source data 3

Genes whose expression is upregulated in BDQr-MTB-infected macrophages upon BDQ treatment.

FDR < 0.05.

https://cdn.elifesciences.org/articles/55692/elife-55692-fig1-data3-v1.xlsx
Figure 1—source data 4

Genes whose expression is downregulated in BDQr-MTB-infected macrophages upon BDQ treatment.

FDR < 0.05.

https://cdn.elifesciences.org/articles/55692/elife-55692-fig1-data4-v1.xlsx
Figure 1—source data 5

Genes differentially expressed in BDQr-MTB infected macrophages by BDQ.

FDR < 0.05.

https://cdn.elifesciences.org/articles/55692/elife-55692-fig1-data5-v1.xlsx
Figure 1—source data 6

Genes differentially expressed in naive macrophages by BDQ.

FDR < 0.05.

https://cdn.elifesciences.org/articles/55692/elife-55692-fig1-data6-v1.xlsx
Figure 1—source data 7

Differentially expressed genes both in naive and in BDQr-MTB infected macrophages upon BDQ treatment.

FDR < 0.05.

https://cdn.elifesciences.org/articles/55692/elife-55692-fig1-data7-v1.xlsx
Figure 1—figure supplement 1
Cell viability assay of macrophages incubated with BDQ.

(A) Cells were treated with various concentrations of BDQ. After 4 hr, 2 and 7 days, cell viability was evaluated with the MTT assay (Trevigen) according to the manufacturer's instructions. (B) …

Figure 1—figure supplement 2
Generation of BDQ resistant MTB strain (BDQr-MTB) and evaluation of its virulence.

(A) Amino acid sequence alignment of the ATP synthase c-subunit gene in wild-type (WT) and BDQ-resistant H37Rv strain. The mutation was indicated in red, at position 63. (B) Optical density (OD) …

Figure 2 with 1 supplement
Modulation of host metabolism by BDQ.

(A–B) The Glycolytic Rate Assay was performed in heat killed-MTB stimulated macrophages treated with BDQ, in the presence of rotenone/antimycin A (Rot/AA) and 2-deoxy-D-glycose (2-DG), inhibitors of …

Figure 2—figure supplement 1
BDQ modulates the metabolism of naïve macrophages.

(A–B) The Glycolytic Rate Assay was performed in macrophages, in the presence of rotenone/antimycin A (Rot/AA) and 2-deoxy-D-glycose (2-DG), respectively inhibitors of mitochondrial electron …

Figure 3 with 2 supplements
BDQ activates the lysosomal pathway in human MTB-infected macrophages.

(A) Heatmap showing differential expression of genes included in the Lysosome KEGG category (p-value<0.05). Each column corresponds to one donor. Data were normalized to determine the log ratio with …

Figure 3—figure supplement 1
BDQ activates the lysosomal pathway in human naive macrophages.

(A) Macrophages were incubated with BDQ (5 μg/mL) for 3 hr, 18 hr and 48 hr. Acid organelles were then labeled with 100 nM LysoTracker DND-99 for 1 hr. The fluorescence intensity was quantified by …

Figure 3—figure supplement 2
BDQ activates the lysosomal pathway, regardless of infection with live MTB.

(A) Briefly, cells were untreated, infected with drug-susceptible MTB or BDQr-MTB, or stimulated with LPS (TLR4 agonist), Pam3CSK4 (TLR1/2 agonist) or heat-killed bacteria, and then treated with …

Figure 4 with 1 supplement
BDQ potentiates PZA antimycobacterial activity.

(A) Macrophages were infected with BDQr-MTB and treated with BDQ (1 μg/mL) and PZA. After 7 of days treatment, cells were lysed and bacteria were enumerated by CFU (counted in triplicate). (B) …

Figure 4—figure supplement 1
BDQ did not potentiate the activity of the other first-line anti-TB drugs, in liquid culture or in BDQr-MTB infected macrophages.

(A) Cells were infected with BDQr-MTB and treated with BDQ (1 μg/mL) and RIF, INH or EMB. After 5 days treatment, cells were lysed and bacteria were enumerated by CFU (counted in triplicate). (B) …

Figure 5 with 1 supplement
Classical anti-TB drugs did not activate the lysosomal pathway in human macrophages.

(A) Number of differentially-expressed genes upon treatment with commonly used anti-TB drugs relative to untreated control. Briefly, naïve- and hk-MTB-stimulated macrophages were treated with AMK …

Figure 5—source data 1

Differentially expressed genes in hk-MTB stimulated macrophages upon EMB treatment.

FDR < 0.05.

https://cdn.elifesciences.org/articles/55692/elife-55692-fig5-data1-v1.xlsx
Figure 5—source data 2

Differentially expressed genes in hk-MTB stimulated macrophages upon RIF treatment.

FDR < 0.05.

https://cdn.elifesciences.org/articles/55692/elife-55692-fig5-data2-v1.xlsx
Figure 5—source data 3

Differentially expressed genes in naive macrophages upon RIF treatment.

FDR < 0.05.

https://cdn.elifesciences.org/articles/55692/elife-55692-fig5-data3-v1.xlsx
Figure 5—source data 4

Differentially expressed genes in hk-MTB stimulated macrophages upon PZA treatment.

FDR < 0.05.

https://cdn.elifesciences.org/articles/55692/elife-55692-fig5-data4-v1.xlsx
Figure 5—source data 5

Regulated genes naive macrophages upon PZA treatment.

FDR < 0.05.

https://cdn.elifesciences.org/articles/55692/elife-55692-fig5-data5-v1.xlsx
Figure 5—figure supplement 1
Scatterplot depicting the correlation between the log2 fold changes (log2FC) in gene expression levels using live MTB and heat-killed bacteria.
BDQ induced autophagy in MTB-infected macrophages.

(A) BDQr-MTB-infected macrophages were incubated with BDQ (5 μg/mL) and different inhibitors of autophagy; bafilomycin (BAF, 100 nM), chloroquine (CQ, 40 μM) and 3-methyladenine (3-MA, 5 mM). After …

BDQ increases macrophage bactericidal functions.

(A) Growth of S. Typhimurium and S. aureus in liquid medium in the presence of BDQ (20 μg/mL). (B) Macrophages were incubated with BDQ and then infected with S. Typhimurium or S. aureus. The number …

Figure 8 with 2 supplements
BDQ does not affect mitochondrial functions.

(A) Macrophages were treated with BDQ for 6, 24 and 48 hr and incubated with TMRM. Fluorescence was quantified by flow cytometry. Oligomycin (OM) is a positive control. (B) Cells were treated as in …

Figure 8—figure supplement 1
The hERG gene is not expressed in human monocyte-derived macrophages.

RT-qPCR was performed in order to detect hERG mRNA expression in macrophages, in hERG-transfected and non-transfected HEK293 cells (kind gift from Craig T. January, University of Wisconsin–Madison). …

Figure 8—figure supplement 2
Oxygen consumption rate (OCR) measured by Seahorse extracellular flux assay of cells incubated with BDQ for 48 hr.

Basal respiration, ATP production, maximal respiration, respiratory reserve and nonmitochondrial respiration were followed by sequential additions of oligomycin (OM), FCCP, and the inhibitors of …

Figure 9 with 1 supplement
Activation of TFEB by BDQ.

(A) Representative fluorescence microscopy images of macrophages treated with BDQ for 6 hr and 18 hr, or incubated in HBSS for 1 hr (starvation). Cells were stained with antibody against TFEB (red). …

Figure 9—figure supplement 1
BDQ-induced lysosome activation is dependent on TFEB.

(A) TFEB expression was inhibited in macrophages using siRNA-mediated gene silencing. After 48 hr, relative gene expression of TFEB was measured by RT-qPCR. Relative expression levels were …

Tables

Table 1
Gene Ontology (GO) functional annotation of genes differentially expressed by BDQ only in naïve- and BDQr-MTB-infected macrophages.
Specific NAIVE BDQ genes
GO categoryavg. LogFCp-value
Cell division-0.518.34E-05
Sphingolipid metabolic process0.331.42E-04
Angiogenesis0.675.16E-04
Spindle-0.635.46E-04
Lysosomal lumen0.351.21E-04
Glycosphingolipid metabolic process0.351.21E-03
Response to oxidative stress0.491.26E-03
Mitotic cell cycle-0.581.29E-03
Specific INFECTED BDQ genes
GO categoryavg. LogFCp-value
Endoplasmatic reticulum-Golgi intermediate compartment-0.382.90E-07
Membrane raft-0.344.93E-05
Cellular protein metabolic process-0.353.32E-04
Lipid binding-0.364.88E-04
Ribonucleoprotein complex binding-0.375.17E-04
Protein dephosphorylation-0.345.43E-04
Lysosomal membrane-0.346.31E-04
Ubiquitin-dependent protein catabolic process0.746.48E-04
Table 2
Gene Ontology (GO) functional annotation of differentially expressed genes in naïve- or hk-MTB-stimulated cells treated with PZA or RIF.
hk-MTB + PZA
GO categoryavg. LogFCp-value
Integral to lumenal side of endoplasmic reticulum membrane0.162.79E-04
Cytokine-mediated signaling pathway0.273.28E-04
Interferon-gamma-mediated signaling pathway0.213.56E-04
MHC class I receptor activity0.167.82E-04
Cytosolic small ribosomal subunit0.267.98E-03
MHC class I protein complex0.161.04E-03
Regulation of immune response0.221.33E-03
Negative regulation of MAPK cascade0.201.34E-03
Naïve + RIF
GO categoryavg. LogFCp-value
Mitotic cell cycle-0.371.53E-17
DNA replication-0.342.59E-13
Cell cycle checkpoint-0.364.98E-10
S phase of mitotic cell cycle-0.326.29E-10
DNA strand elongation involved in DNA replication-0.331.88E-09
G1/S transition of mitotic cell cycle-0.362.02E-09
Cell division-0.343.96E-09
Cell cycle-0.322.26E-07
hk-MTB + RIF
GO categoryavg. LogFCp-value
Melanosome0.264.09E-07
Endoplasmic reticulum unfolded protein response0.297.95E-07
Electron carrier activity0.239.11E-07
Tissue regeneration-0.231.63E-05
Response to drug-0.292.32E-05
NADP binding0.223.07E-05
Cellular lipid metabolic process-0.194.05E-05
Lipid metabolic process-0.234.98E-05
Key resources table
Reagent type
(species)
or resource
DesignationSource or
reference
IdentifiersAdditional
information
Buffy coats (Homo sapiens)PBMCEtablissement Français du sang (EFS)
Cell line (Homo sapiens)HEK 293 cell lineObtained from Dr. Craig T. January, University of Wisconsin–Madison
Cell line (Homo sapiens)HEK 293 cell line stably expressing hERGObtained from Dr. Craig T. January, University of Wisconsin–Madison
Strain, strain background (Mycobacterium tuberculosis)H37RvPMID:12574362
Strain, strain background (Salmonella Typhimurium)S. TyphimuriumPMID:25793259
Strain, strain background (Staphylococcus aureus)S. aureusPMID:25793259
AntibodyDonkey anti-
Rabbit Secondary Antibody, Alexa Fluor 555
Thermo FisherCat. #: A-31572
RRID:AB_162543
IF (1:500)
AntibodyGoat anti-Mouse
Secondary Antibody, Alexa Fluor 555
Thermo FisherCat. #: A-21424
RRID:AB_141780
IF (1:500)
AntibodyMouse monoclonal anti-LC3MBLCat. #: M152-3
RRID:AB_1953013
IF (1:100)
AntibodyRabbit IgG HRP Linked Whole AbGE HealthcareCat. #: NA934
RRID:AB_2722659
WB (1:1000)
AntibodyRabbit polyclonal anti- α/β-TubulinCell Signaling TechnologyCat. #: 2148S
RRID:AB_2288042
WB (1:1000)
AntibodyRabbit polyclonal anti-LC3BAbcamCat. #: Ab48394
RRID:AB_881433
WB (1:1000)
AntibodyRabbit polyclonal anti-SQSTM1/p62Cell Signaling TechnologyCat. #: 5114S
RRID:AB_10624872
WB (1:1000)
AntibodyRabbit polyclonal anti-TFEBThermo FisherCat. #: PA5-65566
RRID:AB_2662642
IF (1:100)
Commercial assay or kitGriess Reaction AssayPromegaCat. #: G2930
RRID:SCR_006724
Commercial assay or kitIllumina TruSeq RNA Sample Preparation kit v2IlluminaCat. #: RS-122-2001/2002
RRID:SCR_010233
Commercial assay or kitMTT Cell Proliferation Assay kitTrevigenCat. #: 4890–25K
RRID:SCR_012449
Commercial assay or kitPierceTM BCA Protein Assay kitThermo FisherCat. #: 23227
Commercial assay or kitRNeasy Mini kitQiagenCat. #: 74104
RRID:SCR_008539
Commercial assay or kitSeahorse XF Cell Mito Stress Test KitAgilent TechnologiesCat. #: 103708–100
Commercial assay or kitSeahorse XF Glycolytic rate Assay kitAgilent TechnologiesCat. #: 103710–100
Chemical compound, drugBedaquilineCombi-BlocksCat. #: QV-7478
Chemical compound, drugBAPTA-AMSigma-AldrichCat. #: A1076
Commercial assay or kitImage-IT TMRMThermo FisherCat. #: I34361
Commercial assay or kitLysoTracker DND-99Thermo FisherCat. #: L7528
Commercial assay or kitMitoSOX RedThermo FisherCat. #: M36008
Commercial assay or kitMitoTrackerTM Deep Red FMThermo FisherCat. #: M22426
Commercial assay or kitFluo-8 AMAbcamCat. #: Ab142773
Commercial assay or kitDQ Green BSAThermo FisherCat. #: D12050
Commercial assay or kitSuperScript III Reverse TranscriptaseThermo FisherCat. #: 18080093
Commercial assay or kitPower SYBR Green PCR Master MixThermo FisherCat. #: 4367659
Sequenced-based reagentRT-qPCR primersThis paperSee Supplementary file 1
Sequenced-
based reagent
siRNA: nontargeting controlDharmaconCat. #: D-001810–10-
05
Sequenced-based reagentsiRNA: ON-TARGETplus Human
TFEB (7942) siRNA -
SMARTpool
DharmaconCat. #: L-009798–00-
0005
Software, algorithmGraphPad PrismGraphPad Prism (https://graphpad.com)RRID:SCR_002798Version 7
Software, algorithmClueGO (Cytospace plug-in)http://apps.cytoscape.org/apps/cluegoRRID:SCR_005748
Software, algorithmDESeq2https://bioconductor.org/packages/release/
bioc/html/DESeq2.html
RRID:SCR_015687Version 1.18.1
Software, algorithmIcyhttp://icy.bioimageanalysis.org/download/RRID:SCR_010587Version 1.0
Software, algorithmSeahorse Wavehttp://www.agilent.com/en-us/products/
cell-analysis-(seahorse)/software-download-for-
wave-desktop
RRID:SCR_014526
Software, algorithmImageJhttp://imagej.nih.gov/ijRRID:SCR_003070

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