Tryptophan catabolism reflects disease activity in human tuberculosis.
Infectious disease
Metabolism
Tuberculosis
Journal
JCI insight
ISSN: 2379-3708
Titre abrégé: JCI Insight
Pays: United States
ID NLM: 101676073
Informations de publication
Date de publication:
21 05 2020
21 05 2020
Historique:
received:
12
02
2020
accepted:
22
04
2020
pubmed:
6
5
2020
medline:
19
5
2021
entrez:
6
5
2020
Statut:
epublish
Résumé
There is limited understanding of the role of host metabolism in the pathophysiology of human tuberculosis (TB). Using high-resolution metabolomics with an unbiased approach to metabolic pathway analysis, we discovered that the tryptophan pathway is highly regulated throughout the spectrum of TB infection and disease. This regulation is characterized by increased catabolism of tryptophan to kynurenine, which was evident not only in active TB disease but also in latent TB infection (LTBI). Further, we found that tryptophan catabolism is reversed with effective treatment of both active TB disease and LTBI in a manner commensurate with bacterial clearance. Persons with active TB and LTBI also exhibited increased expression of indoleamine 2,3-dioxygenase-1 (IDO-1), suggesting IDO-1 mediates observed increases in tryptophan catabolism. Together, these data indicate IDO-1-mediated tryptophan catabolism is highly preserved in the human response to Mycobacterium tuberculosis and could be a target for biomarker development as well as host-directed therapies.
Identifiants
pubmed: 32369456
pii: 137131
doi: 10.1172/jci.insight.137131
pmc: PMC7259525
doi:
pii:
Substances chimiques
Biomarkers
0
IDO1 protein, human
0
Indoleamine-Pyrrole 2,3,-Dioxygenase
0
Tryptophan
8DUH1N11BX
Types de publication
Clinical Trial
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : NIAID NIH HHS
ID : K23 AI144040
Pays : United States
Organisme : NIAID NIH HHS
ID : U19 AI111211
Pays : United States
Organisme : NCATS NIH HHS
ID : KL2 TR002381
Pays : United States
Organisme : FIC NIH HHS
ID : D43 TW007124
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002378
Pays : United States
Organisme : NIAID NIH HHS
ID : R01 AI087465
Pays : United States
Organisme : NIAID NIH HHS
ID : K24 AI114444
Pays : United States
Organisme : NIAID NIH HHS
ID : R21 AI130918
Pays : United States
Organisme : NIAID NIH HHS
ID : T32 AI074492
Pays : United States
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