PMID- 38239429 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240210 IS - 2813-2424 (Electronic) IS - 2813-2424 (Linking) VI - 2 DP - 2023 TI - Macrophage metallothioneins participate in the antileishmanial activity of antimonials. LID - 1242727 [pii] LID - 10.3389/fpara.2023.1242727 [doi] AB - Host cell functions that participate in the pharmacokinetics and pharmacodynamics (PK/PD) of drugs against intracellular pathogen infections are critical for drug efficacy. In this study, we investigated whether macrophage mechanisms of xenobiotic detoxification contribute to the elimination of intracellular Leishmania upon exposure to pentavalent antimonials (Sb(V)). Primary macrophages from patients with cutaneous leishmaniasis (CL) (n=6) were exposed ex vivo to L. V. panamensis infection and Sb(V), and transcriptomes were generated. Seven metallothionein (MT) genes, potent scavengers of heavy metals and central elements of the mammalian cell machinery for xenobiotic detoxification, were within the top 20 up-regulated genes. To functionally validate the participation of MTs in drug-mediated killing of intracellular Leishmania, tandem knockdown (KD) of MT2-A and MT1-E, MT1-F, and MT1-X was performed using a pan-MT shRNA approach in THP-1 cells. Parasite survival was unaffected in tandem-KD cells, as a consequence of strong transcriptional upregulation of MTs by infection and Sb(V), overcoming the KD effect. Gene silencing of the metal transcription factor-1 (MTF-1) abrogated expression of MT1 and MT2-A genes, but not ZnT-1. Upon exposure to Sb(V), intracellular survival of Leishmania in MTF-1(KD) cells was significantly enhanced. Results from this study highlight the participation of macrophage MTs in Sb-dependent parasite killing. FAU - Vargas, Deninson Alejandro AU - Vargas DA AD - Centro Internacional de Entrenamiento e Investigaciones Medicas (CIDEIM), Cali, Colombia. AD - Universidad Icesi, Cali, Colombia. FAU - Gregory, David J AU - Gregory DJ AD - Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, United States. FAU - Koren, Roni Nitzan AU - Koren RN AD - Faculty of Biology, Technion-Israel Institute of Technology, Haifa, Israel. FAU - Zilberstein, Dan AU - Zilberstein D AD - Faculty of Biology, Technion-Israel Institute of Technology, Haifa, Israel. FAU - Belew, Ashton Trey AU - Belew AT AD - Department of Cell Biology and Molecular Genetics, University of Maryland, College Park, MD, United States. AD - Center for Bioinformatics and Computational Biology, University of Maryland, College Park, MD, United States. FAU - El-Sayed, Najib M AU - El-Sayed NM AD - Department of Cell Biology and Molecular Genetics, University of Maryland, College Park, MD, United States. AD - Center for Bioinformatics and Computational Biology, University of Maryland, College Park, MD, United States. FAU - Gomez, Maria Adelaida AU - Gomez MA AD - Centro Internacional de Entrenamiento e Investigaciones Medicas (CIDEIM), Cali, Colombia. AD - Universidad Icesi, Cali, Colombia. LA - eng GR - WT_/Wellcome Trust/United Kingdom GR - D43 TW006589/TW/FIC NIH HHS/United States GR - R01 AI104823/AI/NIAID NIH HHS/United States GR - U19 AI129910/AI/NIAID NIH HHS/United States PT - Journal Article DEP - 20231004 PL - Switzerland TA - Front Parasitol JT - Frontiers in parasitology JID - 9918573587206676 PMC - PMC10795579 MID - NIHMS1955141 OTO - NOTNLM OT - antimony OT - host-parasite interaction OT - leishmania OT - metal transcription factor-1 (MTF-1) OT - metallothioneins COIS- Conflict of interest 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- 2024/01/19 06:43 MHDA- 2024/01/19 06:44 PMCR- 2024/01/18 CRDT- 2024/01/19 03:39 PHST- 2024/01/19 06:44 [medline] PHST- 2024/01/19 06:43 [pubmed] PHST- 2024/01/19 03:39 [entrez] PHST- 2024/01/18 00:00 [pmc-release] AID - 1242727 [pii] AID - 10.3389/fpara.2023.1242727 [doi] PST - ppublish SO - Front Parasitol. 2023;2:1242727. doi: 10.3389/fpara.2023.1242727. Epub 2023 Oct 4.