Macrophages inhibit Coxiella burnetii by the ACOD1-itaconate pathway for containment of Q fever

Infection with the intracellular bacterium Coxiella (C.) burnetii can cause chronic Q fever with severe complications and limited treatment options. Here, we identify the enzyme cis-aconitate decarboxylase 1 (ACOD1 or IRG1) and its product itaconate as protective host immune pathway in Q fever. Infe...

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Main Authors Kohl, Lisa, Alam Siddique, Nur A, Bodendorfer, Barbara, Berger, Raffaela, Preikschat, Annica, Daniel, Christoph, Oelke, Martha, Mauermeir, Michael, Kai-Ting, Yang, Hayek, Inaya, Szperlinski, Mauela, Schulze-Luehrmann, Jan, Schleicher, Ulrike, Bozec, Aline, Kroenke, Gerhard, Murray, Peter J, Yamamoto, Masahiro, Schatz, Valentin, Jantsch, Joonathan, Oefner, Peter, Degrandi, Daniel, Pfeffer, Klaus, Rauber, Simon, Bogdan, Christian, Dettmer, Katja, Luhrmann, Anja, Lang, Roland
Format Paper
LanguageEnglish
Published Cold Spring Harbor Cold Spring Harbor Laboratory Press 11.05.2022
Cold Spring Harbor Laboratory
Edition1.1
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ISSN2692-8205
2692-8205
DOI10.1101/2022.05.10.491306

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Abstract Infection with the intracellular bacterium Coxiella (C.) burnetii can cause chronic Q fever with severe complications and limited treatment options. Here, we identify the enzyme cis-aconitate decarboxylase 1 (ACOD1 or IRG1) and its product itaconate as protective host immune pathway in Q fever. Infection of mice with C. burnetii induced expression of several anti-microbial candidate genes, including Acod1. In macrophages, Acod1 was essential for restricting C. burnetii replication, while other antimicrobial pathways were dispensable. Intratracheal or intraperitoneal infection of Acod1-/- mice caused increased C. burnetii burden, significant weight loss and stronger inflammatory gene expression. Exogenously added itaconate restored pathogen control in Acod1-/- mouse macrophages and blocked replication in human macrophages. In axenic cultures, itaconate directly inhibited growth of C. burnetii. Finally, treatment of infected Acod1-/- mice with itaconate efficiently reduced the tissue pathogen load. Thus, ACOD1-derived itaconate is a key factor in the macrophage-mediated defense against C. burnetii and may be exploited for novel therapeutic approaches in chronic Q fever. Competing Interest Statement The authors have declared no competing interest.
AbstractList Infection with the intracellular bacterium Coxiella (C.) burnetii can cause chronic Q fever with severe complications and limited treatment options. Here, we identify the enzyme cis-aconitate decarboxylase 1 (ACOD1 or IRG1) and its product itaconate as protective host immune pathway in Q fever. Infection of mice with C. burnetii induced expression of several anti-microbial candidate genes, including Acod1. In macrophages, Acod1 was essential for restricting C. burnetii replication, while other antimicrobial pathways were dispensable. Intratracheal or intraperitoneal infection of Acod1-/- mice caused increased C. burnetii burden, significant weight loss and stronger inflammatory gene expression. Exogenously added itaconate restored pathogen control in Acod1-/- mouse macrophages and blocked replication in human macrophages. In axenic cultures, itaconate directly inhibited growth of C. burnetii. Finally, treatment of infected Acod1-/- mice with itaconate efficiently reduced the tissue pathogen load. Thus, ACOD1-derived itaconate is a key factor in the macrophage-mediated defense against C. burnetii and may be exploited for novel therapeutic approaches in chronic Q fever. Competing Interest Statement The authors have declared no competing interest.
Infection with the intracellular bacterium Coxiella (C.) burnetii can cause chronic Q fever with severe complications and limited treatment options. Here, we identify the enzyme cis- aconitate decarboxylase 1 (ACOD1 or IRG1) and its product itaconate as protective host immune pathway in Q fever. Infection of mice with C. burnetii induced expression of several anti-microbial candidate genes, including Acod1. In macrophages, Acod1 was essential for restricting C. burnetii replication, while other antimicrobial pathways were dispensable. Intratracheal or intraperitoneal infection of Acod1-/- mice caused increased C. burnetii burden, significant weight loss and stronger inflammatory gene expression. Exogenously added itaconate restored pathogen control in Acod1-/- mouse macrophages and blocked replication in human macrophages. In axenic cultures, itaconate directly inhibited growth of C. burnetii. Finally, treatment of infected Acod1-/-mice with itaconate efficiently reduced the tissue pathogen load. Thus, ACOD1-derived itaconate is a key factor in the macrophage-mediated defense against C. burnetii and may be exploited for novel therapeutic approaches in chronic Q fever.
Author Alam Siddique, Nur A
Kai-Ting, Yang
Schulze-Luehrmann, Jan
Bogdan, Christian
Kroenke, Gerhard
Dettmer, Katja
Preikschat, Annica
Oefner, Peter
Murray, Peter J
Jantsch, Joonathan
Berger, Raffaela
Rauber, Simon
Mauermeir, Michael
Kohl, Lisa
Bozec, Aline
Luhrmann, Anja
Szperlinski, Mauela
Oelke, Martha
Pfeffer, Klaus
Schleicher, Ulrike
Yamamoto, Masahiro
Schatz, Valentin
Daniel, Christoph
Bodendorfer, Barbara
Lang, Roland
Degrandi, Daniel
Hayek, Inaya
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Keywords itaconate
Q fever
immunometabolism
Immune responsive gene 1 (Irg1)
Cis-aconitate decarboxylase 1 (Acod1)
Language English
License The copyright holder for this pre-print is the author. All rights reserved. The material may not be redistributed, re-used or adapted without the author's permission.
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Snippet Infection with the intracellular bacterium Coxiella (C.) burnetii can cause chronic Q fever with severe complications and limited treatment options. Here, we...
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SubjectTerms Aconitate decarboxylase
Chronic infection
Gene expression
Germfree
Immunology
Infections
Inflammation
Macrophages
Pathogens
Q fever
Replication
Trachea
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Title Macrophages inhibit Coxiella burnetii by the ACOD1-itaconate pathway for containment of Q fever
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https://www.biorxiv.org/content/10.1101/2022.05.10.491306
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