PMID- 34867965 OWN - NLM STAT- MEDLINE DCOM- 20220119 LR - 20220119 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 12 DP - 2021 TI - Modulation of Cystatin C in Human Macrophages Improves Anti-Mycobacterial Immune Responses to Mycobacterium tuberculosis Infection and Coinfection With HIV. PG - 742822 LID - 10.3389/fimmu.2021.742822 [doi] LID - 742822 AB - Tuberculosis owes its resurgence as a major global health threat mostly to the emergence of drug resistance and coinfection with HIV. The synergy between HIV and Mycobacterium tuberculosis (Mtb) modifies the host immune environment to enhance both viral and bacterial replication and spread. In the lung immune context, both pathogens infect macrophages, establishing favorable intracellular niches. Both manipulate the endocytic pathway in order to avoid destruction. Relevant players of the endocytic pathway to control pathogens include endolysosomal proteases, cathepsins, and their natural inhibitors, cystatins. Here, a mapping of the human macrophage transcriptome for type I and II cystatins during Mtb, HIV, or Mtb-HIV infection displayed different profiles of gene expression, revealing cystatin C as a potential target to control mycobacterial infection as well as HIV coinfection. We found that cystatin C silencing in macrophages significantly improves the intracellular killing of Mtb, which was concomitant with an increased general proteolytic activity of cathepsins. In addition, downmodulation of cystatin C led to an improved expression of the human leukocyte antigen (HLA) class II in macrophages and an increased CD4(+) T-lymphocyte proliferation along with enhanced IFN-gamma secretion. Overall, our results suggest that the targeting of cystatin C in human macrophages represents a promising approach to improve the control of mycobacterial infections including multidrug-resistant (MDR) TB. CI - Copyright (c) 2021 Pires, Calado, Velez, Mandal, Catalao, Neyrolles, Lugo-Villarino, Verollet, Azevedo-Pereira and Anes. FAU - Pires, David AU - Pires D AD - Host-Pathogen Interactions, Research Institute for Medicines, iMed-ULisboa, Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal. FAU - Calado, Marta AU - Calado M AD - Host-Pathogen Interactions, Research Institute for Medicines, iMed-ULisboa, Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal. FAU - Velez, Tomas AU - Velez T AD - Host-Pathogen Interactions, Research Institute for Medicines, iMed-ULisboa, Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal. FAU - Mandal, Manoj AU - Mandal M AD - Host-Pathogen Interactions, Research Institute for Medicines, iMed-ULisboa, Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal. FAU - Catalao, Maria Joao AU - Catalao MJ AD - Host-Pathogen Interactions, Research Institute for Medicines, iMed-ULisboa, Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal. FAU - Neyrolles, Olivier AU - Neyrolles O AD - Institut de Pharmacologie et Biologie Structurale, IPBS, Universite de Toulouse, Centre National de la Recherche Scientifique (CNRS), Toulouse, France. FAU - Lugo-Villarino, Geanncarlo AU - Lugo-Villarino G AD - Institut de Pharmacologie et Biologie Structurale, IPBS, Universite de Toulouse, Centre National de la Recherche Scientifique (CNRS), Toulouse, France. FAU - Verollet, Christel AU - Verollet C AD - Institut de Pharmacologie et Biologie Structurale, IPBS, Universite de Toulouse, Centre National de la Recherche Scientifique (CNRS), Toulouse, France. FAU - Azevedo-Pereira, Jose Miguel AU - Azevedo-Pereira JM AD - Host-Pathogen Interactions, Research Institute for Medicines, iMed-ULisboa, Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal. FAU - Anes, Elsa AU - Anes E AD - Host-Pathogen Interactions, Research Institute for Medicines, iMed-ULisboa, Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211118 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (CST3 protein, human) RN - 0 (Cystatin C) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - CD4-Positive T-Lymphocytes/immunology MH - Cells, Cultured MH - Coinfection/*immunology MH - Cystatin C/genetics/*immunology MH - HIV Infections/*immunology MH - HIV-1 MH - Humans MH - Interferon-gamma/immunology MH - Macrophages/*immunology/microbiology MH - Mycobacterium tuberculosis MH - Tuberculosis/*immunology PMC - PMC8637326 OTO - NOTNLM OT - HIV/Mtb coinfection OT - cathepsins OT - cystatins OT - host-directed therapies OT - tuberculosis COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/12/07 06:00 MHDA- 2022/01/20 06:00 PMCR- 2021/01/01 CRDT- 2021/12/06 09:07 PHST- 2021/07/16 00:00 [received] PHST- 2021/10/21 00:00 [accepted] PHST- 2021/12/06 09:07 [entrez] PHST- 2021/12/07 06:00 [pubmed] PHST- 2022/01/20 06:00 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2021.742822 [doi] PST - epublish SO - Front Immunol. 2021 Nov 18;12:742822. doi: 10.3389/fimmu.2021.742822. eCollection 2021.