PMID- 23922243 OWN - NLM STAT- MEDLINE DCOM- 20131224 LR - 20211021 IS - 1528-3658 (Electronic) IS - 1076-1551 (Print) IS - 1076-1551 (Linking) VI - 19 IP - 1 DP - 2013 Aug 28 TI - Immunomodulatory and antibacterial effects of cystatin 9 against Francisella tularensis. PG - 263-75 LID - 10.2119/molmed.2013.00081 [doi] AB - Cystatin 9 (CST9) is a member of the type 2 cysteine protease inhibitor family, which has been shown to have immunomodulatory effects that restrain inflammation, but its functions against bacterial infections are unknown. Here, we report that purified human recombinant (r)CST9 protects against the deadly bacterium Francisella tularensis (Ft) in vitro and in vivo. Macrophages infected with the Ft human pathogen Schu 4 (S4), then given 50 pg of rCST9 exhibited significantly decreased intracellular bacterial replication and increased killing via preventing the escape of S4 from the phagosome. Further, rCST9 induced autophagy in macrophages via the regulation of the mammalian target of rapamycin (mTOR) signaling pathways. rCST9 promoted the upregulation of macrophage proteins involved in antiinflammation and antiapoptosis, while restraining proinflammatory-associated proteins. Interestingly, the viability and virulence of S4 also was decreased directly by rCST9. In a mouse model of Ft inhalation, rCST9 significantly decreased organ bacterial burden and improved survival, which was not accompanied by excessive cytokine secretion or subsequent immune cell migration. The current report is the first to show the immunomodulatory and antimicrobial functions of rCST9 against Ft. We hypothesize that the attenuation of inflammation by rCST9 may be exploited for therapeutic purposes during infection. FAU - Eaves-Pyles, Tonyia AU - Eaves-Pyles T AD - Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas 77555, USA. tdeavesp@utmb.edu FAU - Patel, Jignesh AU - Patel J FAU - Arigi, Emma AU - Arigi E FAU - Cong, Yingzi AU - Cong Y FAU - Cao, Anthony AU - Cao A FAU - Garg, Nisha AU - Garg N FAU - Dhiman, Monisha AU - Dhiman M FAU - Pyles, Richard B AU - Pyles RB FAU - Arulanandam, Bernard AU - Arulanandam B FAU - Miller, Aaron L AU - Miller AL FAU - Popov, Vsevolod L AU - Popov VL FAU - Soong, Lynn AU - Soong L FAU - Carlsen, Eric D AU - Carlsen ED FAU - Coletta, Ciro AU - Coletta C FAU - Szabo, Csaba AU - Szabo C FAU - Almeida, Igor C AU - Almeida IC LA - eng GR - G12M0007592/PHS HHS/United States GR - G12 RR008124/RR/NCRR NIH HHS/United States GR - 5G12RR008124-16A1/RR/NCRR NIH HHS/United States GR - R21-A106877402/PHS HHS/United States GR - 5G12RR008124-16A1S1/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20130828 PL - England TA - Mol Med JT - Molecular medicine (Cambridge, Mass.) JID - 9501023 RN - 0 (Anti-Bacterial Agents) RN - 0 (CST9 protein, human) RN - 0 (Cystatins) RN - 0 (Immunologic Factors) RN - 0 (Recombinant Proteins) SB - IM MH - Animals MH - Anti-Bacterial Agents/*pharmacology/therapeutic use MH - Cell Movement/drug effects MH - Cystatins/genetics/*pharmacology/therapeutic use MH - Female MH - Francisella tularensis/*drug effects/pathogenicity MH - Humans MH - Immunologic Factors/*pharmacology/therapeutic use MH - Macrophages, Alveolar/drug effects/physiology MH - Mice MH - Mice, Inbred BALB C MH - Phagocytosis/drug effects MH - Recombinant Proteins/*pharmacology/therapeutic use MH - Tularemia/drug therapy/immunology/microbiology MH - Virulence/drug effects PMC - PMC3769527 EDAT- 2013/08/08 06:00 MHDA- 2013/12/25 06:00 PMCR- 2013/08/02 CRDT- 2013/08/08 06:00 PHST- 2013/08/01 00:00 [received] PHST- 2013/08/01 00:00 [accepted] PHST- 2013/08/08 06:00 [entrez] PHST- 2013/08/08 06:00 [pubmed] PHST- 2013/12/25 06:00 [medline] PHST- 2013/08/02 00:00 [pmc-release] AID - molmed.2013.00081 [pii] AID - 13_081_eaves-pyles [pii] AID - 10.2119/molmed.2013.00081 [doi] PST - epublish SO - Mol Med. 2013 Aug 28;19(1):263-75. doi: 10.2119/molmed.2013.00081.