Tryptophan catabolism reflects disease activity in human 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
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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Auteurs

Jeffrey M Collins (JM)

Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.

Amnah Siddiqa (A)

Jackson Laboratory for Genomic Medicine, Farmington, Connecticut, USA.

Dean P Jones (DP)

Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.

Ken Liu (K)

Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.

Russell R Kempker (RR)

Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.

Azhar Nizam (A)

Department of Biostatistics and Bioinformatics.

N Sarita Shah (NS)

Department of Epidemiology, and.
Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, Georgia, USA.

Nazir Ismail (N)

Centre for Tuberculosis, National Institute for Communicable Diseases, National Health Laboratory Services, Johannesburg, South Africa.
Department of Medical Microbiology, University of Pretoria, Pretoria, South Africa.
Department of Internal Medicine, University of Witwatersrand, Johannesburg, South Africa.

Samuel G Ouma (SG)

Kenya Medical Research Institute, Kisumu, Kenya.

Nestani Tukvadze (N)

National Center for Tuberculosis and Lung Diseases, Tbilisi, Georgia.

Shuzhao Li (S)

Jackson Laboratory for Genomic Medicine, Farmington, Connecticut, USA.

Cheryl L Day (CL)

Department of Microbiology and Immunology, Emory University School of Medicine, Atlanta, Georgia, USA.
Emory Vaccine Center and.
Yerkes National Primate Research Center, Emory University, Atlanta, Georgia, USA.

Jyothi Rengarajan (J)

Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Emory Vaccine Center and.
Yerkes National Primate Research Center, Emory University, Atlanta, Georgia, USA.

James Cm Brust (JC)

Division of General Internal Medicine and.
Division of Infectious Diseases, Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.

Neel R Gandhi (NR)

Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Department of Epidemiology, and.
Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, Georgia, USA.

Joel D Ernst (JD)

Division of Experimental Medicine, Department of Medicine, UCSF School of Medicine, San Francisco, California, USA.

Henry M Blumberg (HM)

Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Department of Epidemiology, and.
Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, Georgia, USA.
Emory Vaccine Center and.

Thomas R Ziegler (TR)

Division of Endocrinology, Metabolism, and Lipids and.
Emory Center for Clinical and Molecular Nutrition, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Section of Endocrinology, Atlanta Veterans Affairs Medical Center, Atlanta Georgia, USA.

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