The interaction between macrophage and bacterium is central to the immunopathology of mycobacterial diseases; a deeper understanding of this interplay will identify new treatment strategies. Here, we aimed to address the question of whether different mycobacteria similarly modulate the host response of macrophages. Direct comparison of the differentially expressed genes (DEGs) of macrophages infected with different mycobacteria identified from different individual studies was not appropriate to meet this goal, as the analyses were performed differently by each group and, more fundamentally, DEG analysis neglects any key but minor changes in gene expression. For example, when we first explored the transcriptional change of THP1-derived macrophages challenged with
M. aurum by DEG analysis, we only identified 27 differentially expressed genes in comparison with uninfected control macrophages (
Appendix E (Additional File 5)). The most up-regulated and down-regulated genes were
TMEM189-UBE2V1 and
RPS18, respectively.
TMEM189-UBE2V1 is related to the IL-1 signalling pathway [
23,
24]; however, standard DEG analysis did not identify any further IL-1 related genes. To note,
M. aurum shares a high similarity with
Mtb at the genomic level [
25], and most of the genes reported to be associated with drug resistance are common [
26].
In our study, by WGCNA analysis of the 198 transcriptome samples, we can categorise 11,533 genes into 47 modules according to their expression pattern (
Figure 2). Among the defined modules, we identified a module (grey60), consisting of 226 genes, which strongly correlates with mycobacterial adaptations to infection (
Figure 4). The grey60 module is mostly enriched with genes from biological processes such as response to pathogen-associated molecules, cytokine secretion, and chemoattractant release (
Figure 7). Specifically in the module, we find genes induced in response to infection such as
IL1B,
TNF,
IL6,
IL12B,
NFKBIA,
JUN, and
MAP3K8, which are related to Toll-like receptor signalling (
Appendix B (Additional File 2)). To note,
IL1B,
TNF,
IL1A,
IL6,
IL23A,
IL12B,
PLK3, and
IRAK2 were already reported as
Mtb-responsive genes [
27,
28,
29,
30,
31,
32]. Next, by protein interaction network analysis, we identified a set of hub genes that represent the general response of macrophage infected with different mycobacteria, the top 10, connecting the genes in the module together, were
NAMPT,
IRAK2,
SOCS3,
PTGS2,
CCL20,
IL1B,
ZC3H12A,
ABTB2,
GFPT2, and
ELOVL7. Of them,
IRAK2 and
IL1B are well known to be related to Toll-like receptor signalling pathways [
33];
SOCS3,
PTGS2,
CCL20, and
IL1B are linked to TNF signalling pathways [
34];
ZC3H12A and
PTGS2 are involved in cellular inflammatory responses [
35]; and
GFPT2,
NAMPT,
ABTB2, and
ELOVL7 are related to cell cycle dysregulation, tissue damage, and autophagy [
36].
IFN-γ,
IP-10,
CRP,
TNF-α,
CCL4,
IL1β, and
TLR4 have been associated with high accuracy to TB [
37,
38]. Genes involved in NAD+ biosynthesis, for example,
NAMPT, were strongly upregulated during
Mtb infection [
39]. The current data emphasise the previously suggested key role of the IFN pathway in the macrophage response to
Mtb and successful outcome of infection [
39,
40]. Interestingly, some of these genes are involved in nucleic acid or lipid turnover and are also activated during other diseases, such as autoimmunity or cancer [
36,
40,
41,
42,
43,
44,
45]. Our results back up very recent studies of
Mtb modulation of host cell metabolism pathways [
39]. Moreover, we note here the role of cell migration factors in TB pathogenesis, besides cell response to bacteria, as the genes in grey60 split into the two directions (
Figure 7). In addition, interferon-γ release assay (IGRA), based on IFN-γ response, is widely used in TB diagnosis [
46]. Except for the well-known TB markers such as
IRAK2,
SOCS3,
PTGS2,
CCL20, and
IL1B, the other hub genes we identified here,
NAMPT,
ZC3H12A,
ABTB2,
GFPT2, and
ELOVL7, may be useful as new biomarkers for TB diagnosis and as therapeutic targets for host-directed strategies. The present results based on the host metabolism can provide a complementary approach to other studies strictly focused on the mycobacterial response to available drugs in the market [
47,
48,
49,
50,
51]. Hopefully, the dual sequencing of host–pathogen models [
52] will help to unravel the key genes associated to both virulence and host response to infection and set the path to a better tailored drug design.
We conclude here that different mycobacterial infection models can trigger a common core set of genes related to macrophage activation and migration, which is separate from macrophage stimulation with heat-killed
Mtb. However, we cannot disregard the inherent differences between mycobacteria strains and macrophage type, as shown in
Figure 6. Control uninfected BMDM had the lowest expression of this gene module, HAM had the highest level of expression of these genes, whereas THP1 showed a medium profile. The three studied macrophage types include two primary macrophage cells: blood monocyte-derived macrophages and alveolar macrophages, together with an immortalised monocyte-like cell line (THP1). Alveolar macrophages are natural mature macrophages resident in the lung and are among the first immune cells to encounter invading mycobacteria, while blood monocytes and THP1 cells need to be activated to become macrophages. We cannot disregard the key differences between immortalized THP1 cells and their considered physiological counterparts. For example, THP-1 cells, when compared with monocytes, are far less responsive to some pathogen recognition patterns [
53]. Therefore, our results emphasise once more the importance of selecting the appropriate cell infection model to suit each study. Comparing the different mycobacteria strains,
Mtb H37Rv,
Mtb GC1237,
M. bovis BCG,
M. smegmatis,
MABS, and
MABR showed similar induction of genes in the grey60 module, while infection with
M. aurum or stimulation with heat-inactivated
Mtb H37Rv resulted in a lower magnitude of upregulation of these genes. The two species,
M. aurum and
M. smegmatis, have been regarded as ideal surrogates for mimicking tuberculosis in drug development, both demanding a shorter time of culture and less stringent biosafety laboratory conditions [
25,
54].The differential regulation of the gene module identified here by all mycobacteria highlights the potentiality of some alternative infection models to live
Mtb infection.