Armauer Hansen Research Institute Ahri Review Board Ethiopia

  • Periodical List
  • Front Microbiol
  • PMC9008364

Front end Microbiol. 2022; 13: 829870.

PPARγ Ameliorates Mycobacterium tuberculosis H37Ra-Induced Foamy Macrophage Germination via the ABCG1-Dependent Cholesterol Efflux Pathway in THP-1 Macrophages

Received 2021 December six; Accepted 2022 Mar 7.

Information Availability Statement

The original contributions presented in the study are included in the article/supplementary material, further inquiries can exist directed to the corresponding authors.

Abstract

Foamy macrophages are nowadays during the course of Mycobacterium tuberculosis (Mtb) infection and seems to be nutrient-rich reservoir and secure reservoir for the bacilli, which leads to bacterial persistence and infection transmission. Peroxisome proliferator activated receptor γ (PPARγ) is a key transcription cistron for cholesterol metabolism in macrophages and its part in regulating atherosclerosis related foamy macrophages (FMs) formation has been well-studied. However, noesis about the mechanism of PPARγ regulating Mtb infection induced FM formation remains very limited. In this report, we investigate the functional role of PPARγ in Mtb H37Ra infection-induced foamy macrophages formation. H37Ra infection induced a time-dependent decreased expression of PPARγ that paralleled the augmented lipid body germination in THP1-derived macrophages. PPARγ antagonist GW9662 significantly potentiate H37Ra induced lipid body germination and inhibit ABCG1 expression, overexpression of ABCG1 by transduced macrophages with lentivirus significantly reversed the promotion effect of GW9662 on FM germination. Moreover, Treatment with a TLR2 neutralizing antibiotic ameliorated the activation of ABCG1 past Mtb H37Ra without significantly effecting the suppression of PPARγ, suggesting a greater role for TLR2 to regulate ABCG1 compared to PPARγ. Overall, this study showed that PPARγ is involved in ameliorating FM formation by regulating ABCG1 expression, these observations expose a novel part of PPARγ in the Mtb infection induced FM formation.

Keywords: tuberculosis, PPARγ, foamy macrophage, ABCG1, cholesterol efflux

Introduction

Tuberculosis (TB) is a chronic infectious illness caused by Mycobacterium tuberculosis (Mtb) infection. Once Mtb bacilli are inhaled, macrophages phagocytose them and become the principal niche for Mtb (Weiss and Schaible, 2015; Zhang et al., 2021). Mtb-infected foamy macrophages (FMs) stand for the hallmark of TB lesions. FM refers to macrophages that phagocytose backlog lipids and have bubble-similar lipid bodies in their cytoplasm (Shim et al., 2020). Numerous studies take shown that the morphology and function of macrophages are altered after their conversion to FM; morphologically, intracellular lipids accumulate and take on a foamy shape; functionally, FM shows a reduced chapters for phagocytosis and antimicrobial activity (Agarwal et al., 2020); they as well provide a nutrient source for Mtb, thus facilitating the long-term survival of Mtb in bodies (Peyron et al., 2008; Singh et al., 2017). In fact, FM is mainly located in the granuloma surround. The death of FMs and the release of their lipid droplets lead to the formation of a caseum and the spread of infection, which accelerate the transformation of latent infection into active tuberculosis (Russell et al., 2009). As FM plays a cardinal role in tuberculosis development and infection dissemination, determining the mechanism of FM biogenesis is of great importance. However, the events involved in tuberculous foam cell formation remain unclear.

Mycobacterium tuberculosis and bacterial factors manipulate the lipid metabolism of macrophages in multiple ways, thereby promoting FM formation. For example, ESAT-6 stimulates the G protein-coupled receptor GPR109A, leading to enhanced glucose metabolism in macrophages and increased lipid synthesis (Singh et al., 2015). Mtb also induces the activation of both mTORC1 signaling and the caspase cascade to promote TAG synthesis (Guerrini et al., 2018). In addition, Mtb modulates nuclear transcription receptors of host cells involved in nuclear transcription. For case, Mtb activates nuclear receptors such as PPARγ, TR4, and LXR and membrane receptors such every bit CD36, SR-A1, and ABCG1 to regulate the process of FM formation (Dodd et al., 2016; Lovewell et al., 2016; Ahsan et al., 2018), and these molecules are the main regulators of lipid metabolism in macrophages.

Peroxisome proliferator-activated receptor gamma (PPARγ) is a member of the lipid-activated nuclear receptor superfamily and plays a central function in macrophage lipid metabolites (Leopold et al., 2019). For case, in atherosclerosis, PPARγ promotes the expression of CD36, causing enhanced uptake of lipids by macrophages (Kotla et al., 2017); it also accelerates cholesterol efflux by upregulating the expression of ABCA1 and ABCG1 (Wang et al., 2018). In addition, it has been reported that enlarged atherosclerotic plaques in PPARγ knockout mice are associated with reduced ABCG1 expression (Chawla et al., 2001), indicating that the role of PPARγ in lipid efflux exceeds that in lipid uptake. In contrast, research on the role of PPARγ in tuberculosis has focused on its effect on lipid uptake. However, the relative lipid limerick of FM differs in disease contexts (Guerrini et al., 2018; Guerrini and Gennaro, 2019), leading to a disease-specific mechanism of FM germination and a disease-specific part for PPARγ. Based on the higher up, the specific mechanistic link between PPARγ and the tuberculosis-related foamy cell phenotype is notwithstanding being elucidated.

In this study, an in vitro Mtb-infected macrophage mode was established as described previously (Agarwal et al., 2020) to investigate the effect of Mtb infection on PPARγ expression and FM formation. The impacts of PPARγ activity on the germination of FM and the related mechanisms were also investigated. We found that Mtb H37Ra infection reduced PPARγ expression and that PPARγ is involved in ameliorating lipid accumulation through the regulation of ABCG1 expression.

Materials and Methods

Bacterial Strains and Culture Atmospheric condition

The Mycobacterium tuberculosis H37Ra strain was purchased from ATCC (25177), and the bacteria were grown at 37 °C in Middlebrook 7H9 medium (BD company, The states), supplemented with 10% albumin-dextrose-catalase (BD visitor, United States), 0.5% glycerol, and 0.05% Tween-lxxx (Sigma-Aldrich). The bacterial aggregates were disassociated and adjusted to an OD600 of 0.five (approximately 107 individual bacteria/mL).

THP-1 Cells and in vitro Infection

Homo promonocytic THP-1 cells (ATCC, TIB-202, Manassas, VA, United states) were cultured in RPMI-1640 medium lonely with 10% FBS (Sigma–Aldrich), 100 U/mL penicillin and 100 μg/mL streptomycin and incubated at 37°C in a humidified temper with v% CO2. To induce THP-1 cells into macrophages, cells were adhered to embrace slides inside culture plates (24 wells) and exposed to phorbol 12-myristate 13-acetate (PMA, 50 nM, Sigma-Aldrich) for 24 h.

Macrophages were infected with H37Ra (MOI = 10:ane) for iv h, followed past three PBS washes to remove extracellular bacteria. When indicated, macrophages were pretreated with PPARγ agonist BRL49653 (5 μM, Cayman, MI, United States) or PPARγ antagonist GW9662 (1 μM, Sigma-Aldrich) for 30 min, or neutralizing antibody against TLR2 (h-TLR2, v μg/ml, Invivogen, San Diego, CA, Usa) for 1 h before H37Ra infection.

Oil Crimson O Staining

Cells were washed with PBS for iii times and fixed in iv% paraformaldehyde for 30 min. Thereafter, cells were rinsed with 60% isopropanol and stained with fresh filtered Oil Red O (ORO, Sigma-Aldrich) solution for 15 min. Next, cells were washed with isopropanol (60%) followed by counterstaining with hematoxylin for ii min. Cells were visualized under a microscope, and images were obtained. For the decision of intracellular lipid droplets, images of ORO-stained cells were quantified with ImageJ software. For quantification, three images from each treatment grouping were randomly selected, and the percentage of lipid droplets to total area was analyzed, and then normalized to the total number of THP-one.

Quantitative RT–PCR

Full RNA from the macrophages was extracted with TRIzol reagent (Ambion, Thermo Fisher Scientific, Waltham, MA, United States). The mRNA was reverse transcribed to cDNA using a PrimeScript RT Reagents kit (RR047A, Takara, Nihon). qPCR was performed using SYBR Premix Ex Taq 2 (RR420A, Takara, Nippon) in ABI7500, and the cycles were performed as follows: 30 due south at 95°C, 40 cycles of v s at 95°C, and 30 s at threescore°C. GAPDH was used as the housekeeping cistron. Gene expression was calculated as 2–ΔΔCT. The real-time RT–PCR oligonucleotide primers are shown in Tabular array i.

TABLE 1

The existent-time RT-PCR oligonucleotide primers.

Gene Primer Sequence (5′–3′) PCR product (bp)
GAPDH Forrard v′-GGGAGCCAAAAGGGTCATCA-3′
({"type":"entrez-nucleotide","attrs":{"text":"NM_001357943.2","term_id":"1676440496","term_text":"NM_001357943.ii"}}NM_001357943.2) Reverse five′-TGATGGCATGGACTGTGGTC-3′ 184
PPARγ Forrard 5′-ACTTTGGGATCAGCTCCGTG-3′
({"type":"entrez-nucleotide","attrs":{"text":"NM_005037.7","term_id":"1823752903","term_text":"NM_005037.7"}}NM_005037.7) Opposite 5′-GGAGATGCAGGCTCCACTTT-3′ 194
CD36 Forwards 5′-TTGGGAAAGTCACTGCGACA-3′
{"type":"entrez-nucleotide","attrs":{"text":"NM_001371075.1","term_id":"1694460709","term_text":"NM_001371075.1"}}NM_001371075.1 Contrary five′-TCAACTGGAGAGGCAAAGGC-3′ 163
LDLR Forward 5′-AGAAGAAGCCCAGTAGCGTG-3′
({"type":"entrez-nucleotide","attrs":{"text":"NM_000527.5","term_id":"1732746181","term_text":"NM_000527.5"}}NM_000527.v) Reverse 5′-CTGTCTCGAGGGGTAGCTGT-3′ 192
SR-A1 Forward five′-AGCCCACAAGTTTCCCAGTC-3′
({"blazon":"entrez-nucleotide","attrs":{"text":"NM_001035235.4","term_id":"1852860119","term_text":"NM_001035235.four"}}NM_001035235.iv) Reverse five′-GGCTTGAAAGCTCTTGCACC-3′ 196
ABCG1 Forward 5′-CTGTCTGATGGCCGCTTTCT-3′
({"type":"entrez-nucleotide","attrs":{"text":"NM_016818.3","term_id":"1813754697","term_text":"NM_016818.3"}}NM_016818.three) Reverse five′-AATGTTCACAGCTGCCCTCC-three′ 216
ABCA1 Forward 5′-ATTCCTCAAGGTGGCCGAAG-3′
({"type":"entrez-nucleotide","attrs":{"text":"NM_005502.iv","term_id":"1519243541","term_text":"NM_005502.4"}}NM_005502.four) Reverse 5′-CCTTTGCCATCCATCCCACT-3′ 184
SR-B1 Forwards 5′-ATGCACTATGCCCAGTACGTC-3′
({"type":"entrez-nucleotide","attrs":{"text":"NM_005505.5","term_id":"1519316241","term_text":"NM_005505.v"}}NM_005505.five) Reverse v′-TTTGCTTCCTGCAGCACAGAG-3′ 182

Western-Blot

Macrophages were lysed in RIPA lysis buffer (Solarbio, Beijing, Prc). Poly peptide concentrations were measured using a BCA protein analysis kit (Solarbio, Beijing, China). Equal amounts of protein (30 μg) were loaded onto 10% gels. Separated proteins were transferred to PVDF membranes membrane (Millipore, Billerica, MA, U.s.a.); subsequently, the membranes were blocked with 5% non-fat milk for two h and probed with antibodies against PPARγ (1:1,000 dilution, C26H12, Cell Signaling Technology, Danvers, MA, Usa), ABCG1 (1:1,000 dilution, ab52617, ABcam, Cambridge, MA, Us) or TLR2(ane:1,000 dilution, 66645-1, Sanying, Wuhan, Mainland china) overnight at 4°C. Thereafter, the membranes were washed with TBS-Tween buffer and further incubated with an HRP-conjugated caprine animal anti-rabbit IgG Ab (1:5,000, ab205718, ABcam, Cambridge, MA, United States) or HRP-conjugated caprine animal anti-mouse IgG Ab (ane:five,000, ab150113, ABcam, Cambridge, MA, United States) at room temperature for 2 h. Protein bands were visualized past an enhanced chemiluminescence detection kit (Thermo Fisher Scientific, Waltham, MA, U.s.a.) and quantified with ImageJ software.

Construction of the Lentiviral Vector

The ABCG1 gene was amplified by PCR and inserted into the PLVX-IRES-ZS-GREEN1 vector. The newly generated plasmid was LV-ABCG1, and PLVX-IRES-ZS-GREEN was LV-ctl. The cytomegalovirus (CMV) promoter was used to drive cistron expression. The packaging plasmids psPAX2 and enveloped protein particles PMD2.G were transfected into 293T cells for lentiviral product. The lentiviruses were collected on Day 3 after the transfection and concentrated by ultracentrifugation. THP-1 cells were exposed to lentiviruses at a MOI of fifty and 8 μg/ml polybrene (Sigma-Aldrich). Cistron transduction efficiency was analyzed by catamenia cytometry. RT–PCR and western blotting were performed to discover ABCG1 expression in PLVX-ABCG1-transduced THP-one cells at 3 days after transduction.

Statistical Analysis

Information were derived from iii or more independent experiments and are shown as the means ± standard difference (SD). The results were analyzed using GraphPad Prism 8.0 software. For non-parametric unpaired information, comparisons were made using the Mann–Whitney examination. For parametric unpaired data, comparisons were determined by Student'due south t-test. Statistical significance was taken every bit p < 0.05. P-values were assigned as P > 0.05; *P ≤ 0.05; **P ≤ 0.01; ***P ≤ 0.001; and ****P ≤ 0.0001.

Results

Mycobacterium tuberculosis Infection Induces Foamy Macrophage Formation

THP-i-derived macrophages were infected with Mycobacterium tuberculosis H37Ra, and the accumulation of intracellular lipid drops was detected by ORO staining till 72 h after infection. The results showed that when compared with uninfected cells, Mtb H37Ra infection significantly upregulated lipid aggregating in macrophages, with the most prominent event observed at 72 h after infection (Figure 1A).

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Peroxisome proliferator activated receptor γ (PPARγ) is involved in Mycobacterium tuberculosis (Mtb)-induced foamy macrophage (FM) germination. THP-one cells were infected with (H37Ra group) or without (Ctl group) H37Ra (MOI = ten:ane) and were cultivated for the indicated time points. Representative images of ORO-stained macrophages are presented [(A), left panel, 1,000×]. Intracellular lipid drops were quantified with ImageJ software [(A), correct panel]. THP-ane cells were infected with H37Ra (MOI = 10:1) or 4 h, done three times to remove extracellular Mtb and cultivated for different time points, then harvested for the detection of PPARγ expression by RT–qPCR and western absorb (B). THP-1 cells were pretreated with a PPARγ agonist BRL49653 (five μM) or antagonist GW966 two (1 μM) for thirty min, followed by infection with H37Ra for 72 h and staining with ORO [(C), 1,000×]. Scale bar = l μm. Information are expressed as the means ± SD of at least iii independent experiments, *P < 0.05, **P < 0.01, ***P < 0.001.

Peroxisome Proliferator Activated Receptor γ Is Involved in Mycobacterium tuberculosis-Induced Foamy Macrophage Formation

We next examined the issue of H37Ra infection on PPARγ expression in THP-1 macrophage-derived foam cells. Macrophages were infected with Mtb H37Ra for unlike time points and and then detected for PPARγ mRNA and protein expression. As shown in Figure 1B, compared with the uninfected control grouping (0 h), the expression of PPARγ gradually decreased with prolonged infection fourth dimension, which demonstrated that H37Ra infection induced a fourth dimension-dependent decrease in PPAR expression in macrophages.

To investigate the office of PPARγ in lipid accumulation inside Mtb H37Ra-infected macrophages, we pretreated macrophages with a PPARγ agonist BRL49653 or antagonist GW9662 followed by H37Ra infection. As shown in Figure 1C, GW9662 significantly exacerbated the accumulation of lipids in macrophages. Pretreatment with BRL49653 had a minimal effect on lipid accumulation in macrophages.

The Role of Peroxisome Proliferator Activated Receptor γ in Regulating Foamy Macrophage Formation Is Related to the Regulation of ABCG1 Expression

To explore the molecular mechanism of PPARγ in regulating FM formation, nosotros detected the expression of molecules involved in the influx and efflux of lipids under conditions of PPARγ activeness regulation. The results from the RT–PCR assay showed that H37Ra infection significantly enhanced the expression of LDLR, ABCG1, and ABCA1 compared to the non-infection command group; the PPARγ agonist BRL49653 significantly increased the expression of CD36, NCEH1, ABCG1 and SR-B1, and the PPARγ adversary GW9662 downregulated the expression of ABCG1 (Figure 2A). Next, we verified the effect of PPARγ activity regulation on ABCG1 expression by western absorb, and the results were consequent with those of RT–PCR (Effigy 2B).

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Effect of peroxisome proliferator activated receptor γ (PPARγ) activeness on the expression of lipid metabolism-related molecules. THP-ane cells were pretreated with BRL49653 (5 μM) or GW9662 (1 μM) for xxx min followed past infection with H37Ra (MOI = x:1) for 24 h. The mRNA levels of SR-A1, LDLR, CD36, ACAT-1, NCEH1, ABCA1, ABCG1, and SR-B1 were detected by RT–PCR (A). The poly peptide expression of ABCG1 was determined by western blot (B) and quantified by grayscale scanning with ImageJ software. Information are expressed as the means ± SD of at least three independent experiments, *P < 0.05, **P < 0.01.

Based on the in a higher place, we sought to make up one's mind whether GW9662 promoted FM formation past inhibiting ABCG1 expression. THP-1 cells were transduced with lentivirus overexpressing ABCG1 (Lv-ABCG1) or control lentivirus (Lv-ctl) (Effigy 3A), pretreated with or without GW9662, infected with H37Ra (MOI = 10) and monitored for the accumulation of intracellular lipids. The results showed that when compared with H37Ra-infected group, Lv-ABCG1 significantly downregulated lipid accumulation in macrophages, while Lv-ctl had a minimal effect on lipid aggregating. GW9662 treatment significantly promoted lipid accumulation in H37Ra-infected grouping and Lv-ctl grouping, while Lv-ABCG1 reversed the promoting effect of GW9662 on lipid aggregating in H37Ra infection group and Lv-ctl group (Effigy 3B). We also investigated the effect of Mtb H37Ra infection on ABCG1 expression in THP-1 cells. The results showed that Mtb H37Ra infection increased ABCG1 expression in a time-dependent mode (Effigy 3C).

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The part of peroxisome proliferator activated receptor γ (PPARγ) in regulating foamy macrophage (FM) germination is related to the regulation of ABCG1 expression. THP-ane cells were transduced with Lv-ctl or Lv-ABCG1 for 48 h, followed by the detection of ABCG1 expression by both RT–PCR and western blot (A). THP-1 cells were transduced with Lv-ctl or Lv-ABCG1 for 72 h, treated with GW9662 for 30 min, infected with H37Ra (MOI = x:1) for 72 h and and so evaluated for intracellular lipid aggregating by ORO staining [(B), left console, 1,000×]. Calibration bar = 50 μm. The intracellular lipid bodies were quantified with ImageJ software [(B), right panel]. Furnishings of Mycobacterium tuberculosis (Mtb) infection on ABCG1 expression in THP-1 cells were detected. THP-ane cells were infected with H37Ra for the indicated times and so harvested for the detection of ABCG1 expression by RT–qPCR and western blot (C). Data are expressed equally the ways ± SD of at least three independent experiments. *P < 0.05, **P < 0.01, ***P < 0.001.

Peroxisome Proliferator Activated Receptor γ Expression During H37Ra Infection Is Independent of TLR2 Activation

TLR2 has been demonstrated to exist a key regulator of macrophage amnesty and FM germination, we therefore wanted to know whether TLR2 is involved in the regulation of PPARγ and ABCG1 expression in the class of Mtb H37Ra infection. As shown in Effigy 4A, H37Ra infection elevated the expression of TLR2 in macrophages. Considering that H37Ra infection was found to suppress the expression of PPARγ, it seemed that TLR2 signaling could downregulate the expression of PPARγ. However, blocking the TLR2 point with a neutralizing antibody (polyclonal anti-hTLR2 antibiotic, h-TLR2) against TLR2 earlier H37Ra infection did not promote the expression of PPARγ. In dissimilarity, it inhibited the expression of PPARγ and ABCG1 (Figure 4B), which demonstrated that the decrease in PPARγ expression in the course of Mtb H37Ra infection is TLR2-independent. As well, ORO staining showed that compared with H37Ra-infected group, h-TLR2 treatment had no significant event on lipid aggregating in macrophages (Effigy 4C).

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The expression change of peroxisome proliferator activated receptor γ (PPARγ) in macrophages in the course of Mycobacterium tuberculosis (Mtb) infection is TLR2-independent. THP-ane cells were infected with H37Ra for the indicated times and then harvested for the detection of TLR2 expression by western blot (A). THP-1 cells were pretreated with h-TLR2 (5 μg/ml) for 1 h, followed by infection with H37Ra (MOI = 10:1), and the protein expression levels of PPARγ and ABCG1 were determined past western absorb (B), the intracellular lipid accumulation were evaluated by ORO staining [(C), one,000×]. Calibration bar = 50 μm. Information are expressed as the means ± SD of at least 3 independent experiments, *P < 0.05, **P < 0.01.

Give-and-take

Foamy macrophages are associated with chronic inflammation in metabolic, infectious, or autoimmune diseases, and their functional office and formation mechanisms have been nigh well-studied in atherosclerosis. Previous studies have shown that FM is present in tuberculous lesions of animal models as well as in granulomas of individuals with active tuberculosis (Peyron et al., 2008; Gago et al., 2018). Our present written report confirmed that Mtb induces FM formation in a time-dependent mode in an in vitro Mtb-infected macrophage model. Since Mtb-infected foamy macrophages represent the major niche for Mtb survival and their presence is associated with the activation of tuberculosis, FM is probable to determine the prognosis and regression of tuberculosis, but to date, the mechanisms of TB-associated FM formation need to be further investigated.

PPARγ is one of the key receptors regulating lipid metabolism and is involved in regulating the formation of FM in different disease contexts. Previous studies have implicated PPARγ in the regulation of CD36 expression and the uptake of ox-LDL. In atherosclerosis, PPARγ is reported to demark with the promoter region of CD36, and the PPARγ agonist BLR49653 strongly induces CD36 expression (Rubic and Lorenz, 2006; Kotla et al., 2017). During tuberculosis, BLR49653 treatment had the same effect on CD36 expression and FM germination (Mahajan et al., 2012); in silicosis, PPARγ antagonist GW9662 handling downregulated CD36 expression and inhibited FM formation (Hou et al., 2019). Subsequent studies reported the functional function of PPARγ in regulating lipid efflux. In alveolar proteinosis, PPARγ regulates the germination of FM by regulating the expression of ABCG1 (Malur et al., 2011). In an in vitro atherosclerosis cell model, allicin, leonurine, etc. accept been shown to promote lipid efflux through the PPARγ-LXRα-ABCG1 axis (He et al., 2016; Lin et al., 2017). Moreover, a study past Ajay Chawla et al. plant that deletion of the PPARγ gene in macrophages enlarged atherosclerotic plaques in LDLR-/- mice (Chawla et al., 2001), demonstrating that in atherosclerosis, the outcome of PPARγ in promoting lipid efflux exceeded that in lipid uptake. What is the main function of PPARγ in the germination of tuberculosis-associated FM?

In this written report, we confirmed that H37Ra infection decreased PPARγ expression in a time-dependent manner in THP-1 macrophage. Inconsistent with our results, a study past Sahil Mahajan et al. showed that PPARγ expression was altered in a fluctuating manner in THP-1 cells within 24 h after H37Ra infection (Mahajan et al., 2012). H37Rv infection or BCG infection led to increased PPARγ expression, and not-pathogenic Mycobacterium smegmatis failed to induce PPARγ expression (Almeida et al., 2009; Dasgupta and Rai, 2018). Based on the above, we conclude that the relative expression of PPARγ varies with bacterial strains for the following reasons: (i) Mtb of the same type or fifty-fifty different source strains of the same type have dissimilar effects on PPARγ activation due to dissimilar levels virulence, and (two) PPARγ expression varies with MOI and infection time. These findings likewise imply that PPARγ is involved in regulating the immune response confronting TB.

On this basis, we asked whether PPARγ activation is involved in the regulation of FM germination. We observed that the PPARγ antagonist GW9662 potentiated lipid body aggregating and that the PPARγ agonist BRL49653 had a minimal effect on FM formation. To farther investigate the molecular mechanism involved, nosotros analyzed the result of PPARγ activation on the expression of lipid metabolism-related molecules. The results showed that BRL49653 promoted the expression of CD36 too every bit ABCG1 and ABCA1, indicating that BRL49653 can promote not only lipid intake but besides lipid efflux. Moreover, although it may accelerate lipid metabolism in macrophages, it has no meaning effect on FM germination. GW9662 treatment significantly inhibited ABCG1 expression. Based on the higher up, we hypothesize that the promotion effect of GW9662 on FM germination may be related to its inhibition of ABCG1 expression. To confirm the interest of ABCG1 in H37Ra-induced lipid body formation, the cells were infected with Lv-ABCG1 before GW9662 treatment followed past H37Ra infection. Nosotros establish that the promotion upshot of GW9662 on lipid accumulation was reversed by Lv-ABCG1. These observations confirmed our deduction and indicated that PPARγ decreases lipid accumulation by inducing ABCG1 expression. Nevertheless, our results showed that H37Ra infection led to increased expression of ABCG1 and decreased expression of PPARγ in THP-1-derived macrophages in a time-dependent manner, suggesting that PPARγ activation, although involved in mycobacteria-induced ABCG1 expression, is not essential to trigger ABCG1 activation. Other cofactors may exist involved in this process. Some related studies take shown that the ABCG1 gene is itself a straight target of LXRα and LXRα is a selective target of PPARγ in the context of atherosclerosis (Chawla et al., 2001; Rasheed and Cummins, 2018). As a consequence of this regulatory loop, both PPARγ and LXR ligands are involved in regulating ABCG1 expression. Therefore, in this study, whether LXRα is the main molecule targeting ABCG1 remains to be further investigated.

Our report reports that Mtb H37Ra infection results in a decrease in PPARγ expression accompanied by increased FM formation. GW9662 was an constructive inducer of FM formation, decreased expression or weakened activity of PPARγ promotes the formation of FM in our in vitro cell model. The machinery involved is related to the PPARγ/ABCG1 centrality. In contrast, D'Avila et al. reported that BRL49653 significantly promotes lipid aggregating in mouse peritoneal macrophages afterwards BCG infection (D'Avila et al., 2006). Even so, a written report in a mouse atherosclerosis model revealed that PPARγ knockout mice exhibited enlarged atherosclerotic plaques, which is related to the suppression of ABCG1 expression (Chawla et al., 2001). Based on these findings, we speculate a possible lipid metabolism process in macrophages: initially, Mtb infection results in the consecration of PPARγ and its target genes, including CD36, facilitating the uptake of triglycerides and ox-LDL and resulting in increased lipid aggregating. These excessive lipids so stimulate cellular cholesterol efflux by activating LXRs or other molecules to upregulate ABCG1 factor expression. Thus, PPARγ is proposed to couple a pathway of oxLDL uptake to efflux, thereby accelerating lipid catamenia from macrophages.

In addition, our findings demonstrate that TLR2 activation, although involved in inducing PPARγ expression, is not the central molecule in targeting PPARγ. The TLR family has been implicated in mycobacterial recognition and signaling pathways. In particular, TLR2 appears to be critical for sensing mycobacteria and is recognized as a principal inducer of signals in mycobacterial infection (Almeida et al., 2009; Leopold et al., 2019). Our results showed that TLR2 neutralizing antibody h-TLR2 event to decreased ABCG1 expression, just had no significant effect on PPARγ expression and lipid accumulation in macrophages. And h-TLR2 ameliorated the activation of ABCG1 without significantly effecting the suppression of PPARγ, suggesting a greater role for TLR2 to regulate ABCG1 compared to PPARγ, which imply a PPARγ-independent or compensatory pathway to ABCG1 that are mediated by TLR signaling. For instance, Ahsan et al. (2018) reported that IL-36/LXR axis is involved in modulating cholesterol metabolism during Mtb infection, LXR ligands induced cholesterol efflux whereas cholesterol efflux dumb in the presence of LXR inhibitors. Besides, our results show that Mtb H37Ra infection activates TLR2 and simultaneously inhibits PPARγ expression in a time-dependent manner, indicating that other pattern recognition receptors (PRRs) may exist involved in regulating PPARγ other than TLR2. In fact, unlike members of the TLR family, including TLR1, TLR4, and TLR6, as well as TLR9, were demonstrated to human action as mycobacterial signaling transmitters (Saraav et al., 2014); accordingly, TLR2 may cooperate with these receptors to regulate the expression of PPARγ. Boosted studies volition be necessary to characterize the specific PPRs for PPARγ regulation involved in lipid body biogenesis.

Although the machinery of PPARγ in regulating lipid efflux has been well-studied in atherosclerosis, in tuberculosis, it even so needs to be further investigated. In the present written report we provide bear witness that PPARγ plays an important part in regulating lipid efflux in tuberculosis-related FM formation. However, this study even so has some shortcomings. Since THP-1 cells are terminally differentiated cells, we modulated their activity by agonists and antagonists and failed to regulate their expression levels past siRNA or other treatments. Moreover, in vitro jail cell experiments cannot be compared with in vivo experiments; therefore, further validation by animal experiments is after required. Future studies in animal models equally well as in M. tuberculosis infection will be necessary for further characterizations.

In conclusion, our findings demonstrate that H37Ra infection reduces PPARγ expression and induces FM formation in a fourth dimension-dependent way in THP-1-derived foamy macrophages. Moreover, PPARγ ameliorates lipid accumulation through the regulation of ABCG1 expression; furthermore, TLR2 is not the central molecule in targeting PPARγ expression (Effigy 5). These findings offer a new perspective on the participation of PPARγ in foamy macrophage germination.

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Graphical summary depicting that peroxisome proliferator activated receptor γ (PPARγ) regulates Mtb H37Ra infection-induced foamy macrophage formation via the ABCG1-dependent cholesterol efflux pathway. H37Ra infection reduces PPARγ expression in macrophage in a currently unknown way, which results in the decrease of ABCG1 expression and intracellular lipid efflux. TLR2 is involved in the regulation of PPARγ and ABCG1 expression, and it have a greater role to regulate ABCG1 compared to PPARγ, but it is not the key regulator of PPARγ expression.

Information Availability Statement

The original contributions presented in the study are included in the commodity/supplementary material, farther inquiries can be directed to the corresponding authors.

Author Contributions

YY: information curation and writing–original typhoon preparation. JLu and LZ: methodology. YGu and RS: visualization. YGa and JR: investigation. QL: project administration. ZH: supervision. JLi: conceptualization and writing–review and editing. All authors contributed to the article and canonical the submitted version.

Conflict of Involvement

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.

Publisher's Annotation

All claims expressed in this article are solely those of the authors and do non necessarily correspond those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Whatever product that may be evaluated in this article, or claim that may exist fabricated by its manufacturer, is non guaranteed or endorsed by the publisher.

Funding

This work was supported by the grants from the National Natural Scientific discipline Foundation of China (Grant Nos. 81760002 and 82160308), Jiangxi Provincial Natural Science Foundation (Nos. 20171ACB20032, 20212BAB216028, and 20202BAB216001), the Projection for High end talent of Scientific discipline and Technology Innovation in Jiangxi double m plan (Grant No. jxsq2019201024), and the Science and Applied science Project of Jiangxi Health Commission (202210341).

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