PMID- 22964851 OWN - NLM STAT- MEDLINE DCOM- 20130107 LR - 20230216 IS - 1530-0307 (Electronic) IS - 0023-6837 (Print) IS - 0023-6837 (Linking) VI - 92 IP - 11 DP - 2012 Nov TI - Heme oxygenase-1 promotes granuloma development and protects against dissemination of mycobacteria. PG - 1541-52 LID - 10.1038/labinvest.2012.125 [doi] AB - Non-tuberculous mycobacterial (NTM) infections occur in both immunocompromised and immunocompetent hosts and are an increasingly recognized cause of morbidity and mortality. The hallmark of pulmonary mycobacterial infections is the formation of granuloma in the lung. Our study focuses on the role of heme oxygenase-1 (HO-1), a cytoprotective enzyme, in the regulation of granuloma development and maturation following infection with Mycobacterium avium. We examined the role of HO-1 in regulating monocyte chemoattractant protein-1 (MCP-1) and chemokine receptor 2 (CCR2), two molecules involved in monocyte-macrophage cell trafficking after infection. We showed that RAW 264.7 mouse monocytes exposed to M. avium expressed HO-1 and MCP-1. Inhibition of HO by zinc protoporphyrin-IX led to inhibition of MCP-1 and increased expression of CCR2, its cognate receptor. HO-1(-)/(-) mice did not develop organized granuloma in their lungs, had higher lung colony forming unit of M. avium when infected with intratracheal M. avium, and had loose collections of inflammatory cells in the lung parenchyma. Mycobacteria were found only inside defined granulomas but not outside granuloma in the lungs of HO-1(+)/(+) mice. In HO-1(-)/(-) mice, mycobacteria were also found in the liver and spleen and showed increased mortality. Peripheral blood monocytes isolated from GFP(+) mice and given intravenously to HO-1(+)/(+) mice localized into tight granulomas, while in HO-1(-)/(-) mice they remained diffusely scattered in areas of parenchymal inflammation. Higher MCP-1 levels were found in bronchoalveolar lavage fluid of M. avium infected HO-1(-/-) mice and CCR2 expression was higher in HO-1(-)/(-) alveolar macrophages when compared with HO-1(+)/(+) mice. CCR2 expression localized to granuloma in HO-1(+)/(+) mice but not in the HO-1(-)/(-) mice. These findings strongly suggest that HO-1 plays a protective role in the control of M. avium infection. FAU - Regev, Doron AU - Regev D AD - Division of Pulmonary, Critical Care and Sleep Medicine, College of Medicine, University of Florida, Gainesville, FL, USA. FAU - Surolia, Ranu AU - Surolia R FAU - Karki, Suman AU - Karki S FAU - Zolak, Jason AU - Zolak J FAU - Montes-Worboys, Ana AU - Montes-Worboys A FAU - Oliva, Ocatvio AU - Oliva O FAU - Guroji, Purushotum AU - Guroji P FAU - Saini, Vikram AU - Saini V FAU - Steyn, Adrie Jc AU - Steyn AJ FAU - Agarwal, Anupam AU - Agarwal A FAU - Antony, Veena B AU - Antony VB LA - eng GR - R01 AI080349/AI/NIAID NIH HHS/United States GR - R01 ES029981/ES/NIEHS NIH HHS/United States GR - R21 AA 014796/AA/NIAAA NIH HHS/United States GR - R21 AA014796/AA/NIAAA NIH HHS/United States GR - R01 AI076389/AI/NIAID NIH HHS/United States GR - 1P30 DK079337/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20120910 PL - United States TA - Lab Invest JT - Laboratory investigation; a journal of technical methods and pathology JID - 0376617 RN - 0 (Ccl2 protein, mouse) RN - 0 (Ccr2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Membrane Proteins) RN - 0 (Protoporphyrins) RN - 0 (RNA, Messenger) RN - 0 (Receptors, CCR2) RN - 15442-64-5 (zinc protoporphyrin) RN - EC 1.14.14.18 (Heme Oxygenase-1) RN - EC 1.14.14.18 (Hmox1 protein, mouse) SB - IM MH - Animals MH - Cell Line MH - Chemokine CCL2/*metabolism MH - Colony Count, Microbial MH - Granuloma/*enzymology/microbiology MH - Heme Oxygenase-1/*metabolism MH - Lung/pathology MH - Membrane Proteins/*metabolism MH - Mice MH - Mice, Knockout MH - Mycobacterium avium MH - Protoporphyrins MH - RNA, Messenger/metabolism MH - Receptors, CCR2/*metabolism MH - Tuberculosis, Pulmonary/*enzymology/microbiology/pathology PMC - PMC4017357 MID - NIHMS560288 EDAT- 2012/09/12 06:00 MHDA- 2013/01/08 06:00 PMCR- 2014/05/12 CRDT- 2012/09/12 06:00 PHST- 2012/09/12 06:00 [entrez] PHST- 2012/09/12 06:00 [pubmed] PHST- 2013/01/08 06:00 [medline] PHST- 2014/05/12 00:00 [pmc-release] AID - S0023-6837(22)00243-4 [pii] AID - 10.1038/labinvest.2012.125 [doi] PST - ppublish SO - Lab Invest. 2012 Nov;92(11):1541-52. doi: 10.1038/labinvest.2012.125. Epub 2012 Sep 10.