Oxidized low-density lipoprotein (oxLDL) supports Mycobacterium tuberculosis survival in macrophages by inducing lysosomal dysfunction

dc.contributor.authorVrieling, Franken_ZA
dc.contributor.authorWilson, Louisen_ZA
dc.contributor.authorRensen, Patrick C. N.en_ZA
dc.contributor.authorWalzl, Gerharden_ZA
dc.contributor.authorOttenhoff, Tom H. M.en_ZA
dc.contributor.authorJoosten, Simone A.en_ZA
dc.date.accessioned2021-09-27T07:06:22Z
dc.date.available2021-09-27T07:06:22Z
dc.date.issued2019
dc.descriptionCITATION: Vrieling, F., et al. 2019. Oxidized low-density lipoprotein (oxLDL) supports Mycobacterium tuberculosis survival in macrophages by inducing lysosomal dysfunction. PLoS Pathogens, 15(4): e1007724, doi:10.1371/journal.ppat.1007724.
dc.descriptionThe original publication is available at https://journals.plos.org/plospathogens
dc.description.abstractENGLISH ABSTRACT: Type 2 diabetes mellitus (DM) is a major risk factor for developing tuberculosis (TB). TB-DM comorbidity is expected to pose a serious future health problem due to the alarming rise in global DM incidence. At present, the causal underlying mechanisms linking DM and TB remain unclear. DM is associated with elevated levels of oxidized low-density lipoprotein (oxLDL), a pathologically modified lipoprotein which plays a key role during atherosclerosis development through the formation of lipid-loaded foamy macrophages, an event which also occurs during progression of the TB granuloma. We therefore hypothesized that oxLDL could be a common factor connecting DM to TB. To study this, we measured oxLDL levels in plasma samples of healthy controls, TB, DM and TB-DM patients, and subsequently investigated the effect of oxLDL treatment on human macrophage infection with Mycobacterium tuberculosis (Mtb). Plasma oxLDL levels were significantly elevated in DM patients and associated with high triglyceride levels in TB-DM. Strikingly, incubation with oxLDL strongly increased macrophage Mtb load compared to native or acetylated LDL (acLDL). Mechanistically, oxLDL -but not acLDL- treatment induced macrophage lysosomal cholesterol accumulation and increased protein levels of lysosomal and autophagy markers, while reducing Mtb colocalization with lysosomes. Importantly, combined treatment of acLDL and intracellular cholesterol transport inhibitor (U18666A) mimicked the oxLDL-induced lysosomal phenotype and impaired macrophage Mtb control, illustrating that the localization of lipid accumulation is critical. Collectively, these results demonstrate that oxLDL could be an important DM-associated TB-risk factor by causing lysosomal dysfunction and impaired control of Mtb infection in human macrophages.en_ZA
dc.description.urihttps://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.1007724
dc.description.versionPublisher's version
dc.format.extent27 pagesen_ZA
dc.identifier.citationVrieling, F., et al. 2019. Oxidized low-density lipoprotein (oxLDL) supports Mycobacterium tuberculosis survival in macrophages by inducing lysosomal dysfunction. PLoS Pathogens, 15(4): e1007724, doi:10.1371/journal.ppat.1007724
dc.identifier.issn1553-7374 (online)
dc.identifier.otherdoi:10.1371/journal.ppat.1007724
dc.identifier.urihttp://hdl.handle.net/10019.1/123077
dc.language.isoen_ZAen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectType 2 diabetesen_ZA
dc.subjectLow density lipoproteins -- Oxidationen_ZA
dc.subjectMycobacterium tuberculosisen_ZA
dc.subjectMacrophagesen_ZA
dc.subjectLysosomal disordersen_ZA
dc.titleOxidized low-density lipoprotein (oxLDL) supports Mycobacterium tuberculosis survival in macrophages by inducing lysosomal dysfunctionen_ZA
dc.typeArticleen_ZA
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