The host-directed therapeutic imatinib mesylate accelerates immune responses to Mycobacterium marinum infection and limits pathology associated with granulomas

• Type of Material: Article
• Authors: Tesia L Cleverley, Emory University; Siri Peddineni, Emory University; Jeannette Guarner, Emory University; Francesca Cingolani, Emory University; Pamela K Garcia, Emory University; Heather Koehler, Emory University; Edward Mocarski, Emory University; Daniel Kalman, Emory University
• Language: English
• Date: 2023-05-01
• Publisher: PUBLIC LIBRARY SCIENCE
• Publication Version: Final Published Version
• Copyright Statement: © 2023 Cleverley et al
• Final Published Version (URL): http://dx.doi.org/10.1371/journal.ppat.1011387
• Title of Journal or Parent Work: PLOS PATHOGENS
• Volume: 19
• Issue: 5
• Start Page: e1011387
• End Page: e1011387
• Grant/Funding Information: This work was supported by grants from the NIH (R01-DK074731, R56-DK074731, R21-AG054903, and UH2/3 AI-122320 all to D.K.). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
• Keywords: INTERFERON-GAMMA; Science & Technology; MEDIATES RESISTANCE; PATHOGENESIS; MICE; Parasitology; FIBROSIS; Virology; Microbiology; Life Sciences & Biomedicine; TUMOR-NECROSIS-FACTOR; DRUG-RESISTANT TUBERCULOSIS; MACROPHAGES; INNATE IMMUNITY; SUSCEPTIBILITY
• Research Categories: Health Sciences, Immunology; Health Sciences, Pathology

Abstract

Infections caused by members of the mycobacterium tuberculosis complex [MTC] and nontuberculous mycobacteria [NTM] can induce widespread morbidity and mortality in people. Mycobacterial infections cause both a delayed immune response, which limits rate of bacterial clearance, and formation of granulomas, which contain bacterial spread, but also contribute to lung damage, fibrosis, and morbidity. Granulomas also limit access of antibiotics to bacteria, which may facilitate development of resistance. Bacteria resistant to some or all antibiotics cause significant morbidity and mortality, and newly developed antibiotics readily engender resistance, highlighting the need for new therapeutic approaches. Imatinib mesylate, a cancer drug used to treat chronic myelogenous leukemia [CML] that targets Abl and related tyrosine kinases, is a possible host-directed therapeutic [HDT] for mycobacterial infections, including those causing TB. Here, we use the murine Mycobacterium marinum [Mm] infection model, which induces granulomatous tail lesions. Based on histological measurements, imatinib reduces both lesion size and inflammation of surrounding tissue. Transcriptomic analysis of tail lesions indicates that imatinib induces gene signatures indicative of immune activation and regulation at early time points post infection that resemble those seen at later ones, suggesting that imatinib accelerates but does not substantially alter anti-mycobacterial immune responses. Imatinib likewise induces signatures associated with cell death and promotes survival of bone marrow-derived macrophages [BMDMs] in culture following infection with Mm. Notably, the capacity of imatinib to limit formation and growth of granulomas in vivo and to promote survival of BMDMs in vitro depends upon caspase 8, a key regulator of cell survival and death. These data provide evidence for the utility of imatinib as an HDT for mycobacterial infections in accelerating and regulating immune responses, and limiting pathology associated with granulomas, which may mitigate post-treatment morbidity.