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Cellular and Molecular Mechanisms of Pathogenesis and Drug Effects in Tuberculosis

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: 30 June 2024 | Viewed by 1219

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New Jersey Medical School, Rutgers University, Newark, NJ 07103, USA
Interests: vaccines; innate immunity; macrophages; neutrophils; inflammation
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Special Issue Information

Dear Colleagues,

Tuberculosis (TB) is a bacterial infectious disease caused by Mycobacterium tuberculosis complex organisms that caused nearly 1.3 million deaths and 10 million new cases among humans worldwide in 2022. In addition, about a fourth of the global human population has been estimated to have latent Mtb infections (LTBIs), which are largely asymptomatic. However, under immunocompromising conditions, LTBI can be reactive to symptomatic TB, fueling the burden of global TB cases. Since currently available anti-TB drug regimens and vaccines are inadequate, improved intervention strategies are urgently needed to control the global TB crisis. After successful implantation into the lungs, Mtb enters the host cells, mainly the phagocytes, which try to eliminate the infecting bacteria. The secretion of cytokines and effector molecules by the infected cells leads to the recruitment and activation of additional immune cells from circulation. This organized accumulation of immune cells surrounding Mtb-infected phagocytes is called the granuloma, a hallmark in TB pathogenesis. Within the granuloma, intricate host–pathogen interactions and signaling events direct the course and outcome of Mtb infection. However, the host- and pathogen-derived molecules and their signaling mechanisms that contribute to differential clinical outcomes, such as active and latent TB, remain largely unknown. Similarly, the molecular and cellular events of how Mtb evades host defense, including vaccine-induced protective immunity, as well as the activities of anti-TB drugs are not fully understood. In this Special Issue, we invite high-quality original articles and reviews pertaining to the molecular and cellular signaling aspects of TB pathogenesis, mechanisms of host evasion by Mtb, including anti-TB drug resistance mechanisms, as well as host-directed therapy. The suggested topics include but are not limited to the following:

  • Host–pathogen interaction studies using in vitro and/or in vivo model systems;
  • Mtb- and/or vaccine-induced host immune responses;
  • Systems approach to evaluate host and/or Mtb components of active TB, and LTBI with or without co-occurrence with other infections and diseases;
  • Host- and/or pathogen-mediated drug-resistance pathways;
  • Evaluation of novel vaccines, drugs, and host-directed therapies for TB in animal models;
  • Development and evaluation of novel model systems to study the spectrum of TB pathogenesis.

Dr. Selvakumar Subbian
Guest Editor

Manuscript Submission Information

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Keywords

  • tuberculosis
  • mycobacterium
  • vaccines

Published Papers (1 paper)

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Research

17 pages, 8283 KiB  
Article
Immunopathology of Pulmonary Mycobacterium tuberculosis Infection in a Humanized Mouse Model
by Afsal Kolloli, Ranjeet Kumar, Vishwanath Venketaraman and Selvakumar Subbian
Int. J. Mol. Sci. 2024, 25(3), 1656; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms25031656 - 29 Jan 2024
Viewed by 1033
Abstract
Despite the availability of antibiotic therapy, tuberculosis (TB) is prevailing as a leading killer among human infectious diseases, which highlights the need for better intervention strategies to control TB. Several animal model systems, including mice, guinea pigs, rabbits, and non-human primates have been [...] Read more.
Despite the availability of antibiotic therapy, tuberculosis (TB) is prevailing as a leading killer among human infectious diseases, which highlights the need for better intervention strategies to control TB. Several animal model systems, including mice, guinea pigs, rabbits, and non-human primates have been developed and explored to understand TB pathogenesis. Although each of these models contributes to our current understanding of host-Mycobacterium tuberculosis (Mtb) interactions, none of these models fully recapitulate the pathological spectrum of clinical TB seen in human patients. Recently, humanized mouse models are being developed to improvise the limitations associated with the standard mouse model of TB, including lack of necrotic caseation of granulomas, a pathological hallmark of TB in humans. However, the spatial immunopathology of pulmonary TB in humanized mice is not fully understood. In this study, using a novel humanized mouse model, we evaluated the spatial immunopathology of pulmonary Mtb infection with a low-dose inoculum. Humanized NOD/LtSscidIL2Rγ null mice containing human fetal liver, thymus, and hematopoietic CD34+ cells and treated with human cytokines were aerosol challenged to implant <50 pathogenic Mtb (low dose) in the lungs. At 2 and 4 weeks post infection, the tissue bacterial load, disease pathology, and spatial immunohistology were determined in the lungs, liver, spleen, and adipose tissue using bacteriological, histopathological, and immunohistochemical techniques. The results indicate that implantation of <50 bacteria can establish a progressive disease in the lungs that transmits to other tissues over time. The disease pathology in organs correspondingly increased with the bacterial load. A distinct spatial distribution of T cells, macrophages, and natural killer cells were noted in the lung granulomas. The kinetics of spatial immune cell distribution were consistent with the disease pathology in the lungs. Thus, the novel humanized model recapitulates several key features of human pulmonary TB granulomatous response and can be a useful preclinical tool to evaluate potential anti-TB drugs and vaccines. Full article
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