Tuberculosis, caused by Mycobacterium tuberculosis, is one of the greatest infectious causes of disease and mortality worldwide. The problem has been exacerbated in recent years by the emergence of drug resistant strains and the concurrent HIV epidemic. There is no reliable vaccine against tuberculosis and there is increasing evidence that natural infection and disease cannot prevent subsequent reinfection. Thus host immunity is only partially effective in preventing and eliminating infection. To enhance our understanding of the basic interplay between pathogenic mycobacteria and host immunity, we will use a closely related pathogenic species Mycobacterium marinum. M. marinum causes a systemic tuberculosis-like disease in ectotherms, and a peripheral granulomatous disease in humans called fish tank granuloma. M. marinum is a powerful model for the study of tuberculosis owing to its genetic and pathogenic similarities to M. tuberculosis, its relatively rapid growth, and the existence of multiple natural hosts that serve as animal models. Adult zebrafish develop caseating granulomatous tuberculosis similar to active human tuberculosis. Mm also produces granulomatous disease in zebrafish larvae, which allow live monitoring of host-pathogen interactions due to their optical transparency. Using the embryo model in conjunction with a variety of fluorescence-based tools we developed in M. marinum, we have been able to monitor and modulate the essential stages of infection, dissemination and granuloma formation in real-time. Here, we will test a series of M. marinum mutants in the zebrafish to explore the molecular mechanisms by which mycobacteria resist and even usurp host immunity to persist. We will develop additional techniques to assess the subcellular localization of intracellular M. marinum during infection, and use a pH sensitive GFP reporter to determine correlate phagosomal acidification to intrabacterial acidification. Finally, we will continue our studies of the RD1 virulence locus. Specifically, we will pursue the identity of, and the molecular mechanism by which, RD1-secreted determinants induce the production of host matrix metalloproteinase-9 by epithelial cells, thus facilitating granuloma formation and bacterial expansion. The information obtained from our proposed experiments will further our fundamental knowledge about tuberculosis.

Public Health Relevance

Tuberculosis is caused by pathogenic mycobacteria, and is often characterized by a long-term infection that the immune system is unable to eradicate. This application uses a simple and genetically tractable zebrafish larval model to explore the earliest interactions that occur between the immune system of Vertebrate Animals: and mycobacteria at the onset of infection. By understanding these early interactions we hope to identify key steps for therapeutic intervention.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Research Project (R01)
Project #
5R01AI036396-19
Application #
8212374
Study Section
Host Interactions with Bacterial Pathogens Study Section (HIBP)
Program Officer
Jacobs, Gail G
Project Start
1994-08-01
Project End
2015-01-31
Budget Start
2012-02-01
Budget End
2013-01-31
Support Year
19
Fiscal Year
2012
Total Cost
$379,621
Indirect Cost
$132,121
Name
University of Washington
Department
Microbiology/Immun/Virology
Type
Schools of Medicine
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195
Adams, Kristin N; Szumowski, John D; Ramakrishnan, Lalita (2014) Verapamil, and its metabolite norverapamil, inhibit macrophage-induced, bacterial efflux pump-mediated tolerance to multiple anti-tubercular drugs. J Infect Dis 210:456-66
Petrie, Timothy A; Strand, Nicholas S; Yang, Chao-Tsung et al. (2014) Macrophages modulate adult zebrafish tail fin regeneration. Development 141:2581-91
Cambier, C J; Takaki, Kevin K; Larson, Ryan P et al. (2014) Mycobacteria manipulate macrophage recruitment through coordinated use of membrane lipids. Nature 505:218-22
Ramakrishnan, Lalita (2013) Looking within the zebrafish to understand the tuberculous granuloma. Adv Exp Med Biol 783:251-66
Tobin, David M; Roca, Francisco J; Ray, John P et al. (2013) An enzyme that inactivates the inflammatory mediator leukotriene b4 restricts mycobacterial infection. PLoS One 8:e67828
Takaki, Kevin; Davis, J Muse; Winglee, Kathryn et al. (2013) Evaluation of the pathogenesis and treatment of Mycobacterium marinum infection in zebrafish. Nat Protoc 8:1114-24
Roca, Francisco J; Ramakrishnan, Lalita (2013) TNF dually mediates resistance and susceptibility to mycobacteria via mitochondrial reactive oxygen species. Cell 153:521-34
Szumowski, John D; Adams, Kristin N; Edelstein, Paul H et al. (2013) Antimicrobial efflux pumps and Mycobacterium tuberculosis drug tolerance: evolutionary considerations. Curr Top Microbiol Immunol 374:81-108
Tobin, David M; Ramakrishnan, Lalita (2013) TB: the Yin and Yang of lipid mediators. Curr Opin Pharmacol 13:641-5
Ramakrishnan, Lalita (2012) Revisiting the role of the granuloma in tuberculosis. Nat Rev Immunol 12:352-66

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