TY - JOUR
T1 - Druggable redox pathways against Mycobacterium abscessus in cystic fibrosis patient-derived airway organoids
AU - Leon-Icaza, Stephen Adonai
AU - Bagayoko, Salimata
AU - Vergé, Romain
AU - Iakobachvili, Nino
AU - Ferrand, Chloé
AU - Aydogan, Talip
AU - Bernard, Célia
AU - Sanchez Dafun, Angelique
AU - Murris-Espin, Marlène
AU - Mazières, Julien
AU - Bordignon, Pierre Jean
AU - Mazères, Serge
AU - Bernes-Lasserre, Pascale
AU - Ramé, Victoria
AU - Lagarde, Jean-Michel
AU - Marcoux, Julien
AU - Bousquet, Marie-Pierre
AU - Chalut, Christian
AU - Guilhot, Christophe
AU - Clevers, Hans
AU - Peters, Peter J
AU - Molle, Virginie
AU - Lugo-Villarino, Geanncarlo
AU - Cam, Kaymeuang
AU - Berry, Laurence
AU - Meunier, Etienne
AU - Cougoule, Céline
N1 - Copyright: © 2023 Leon-Icaza et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2023/8
Y1 - 2023/8
N2 - Mycobacterium abscessus (Mabs) drives life-shortening mortality in cystic fibrosis (CF) patients, primarily because of its resistance to chemotherapeutic agents. To date, our knowledge on the host and bacterial determinants driving Mabs pathology in CF patient lung remains rudimentary. Here, we used human airway organoids (AOs) microinjected with smooth (S) or rough (R-)Mabs to evaluate bacteria fitness, host responses to infection, and new treatment efficacy. We show that S Mabs formed biofilm, and R Mabs formed cord serpentines and displayed a higher virulence. While Mabs infection triggers enhanced oxidative stress, pharmacological activation of antioxidant pathways resulted in better control of Mabs growth and reduced virulence. Genetic and pharmacological inhibition of the CFTR is associated with better growth and higher virulence of S and R Mabs. Finally, pharmacological activation of antioxidant pathways inhibited Mabs growth, at least in part through the quinone oxidoreductase NQO1, and improved efficacy in combination with cefoxitin, a first line antibiotic. In conclusion, we have established AOs as a suitable human system to decipher mechanisms of CF-driven respiratory infection by Mabs and propose boosting of the NRF2-NQO1 axis as a potential host-directed strategy to improve Mabs infection control.
AB - Mycobacterium abscessus (Mabs) drives life-shortening mortality in cystic fibrosis (CF) patients, primarily because of its resistance to chemotherapeutic agents. To date, our knowledge on the host and bacterial determinants driving Mabs pathology in CF patient lung remains rudimentary. Here, we used human airway organoids (AOs) microinjected with smooth (S) or rough (R-)Mabs to evaluate bacteria fitness, host responses to infection, and new treatment efficacy. We show that S Mabs formed biofilm, and R Mabs formed cord serpentines and displayed a higher virulence. While Mabs infection triggers enhanced oxidative stress, pharmacological activation of antioxidant pathways resulted in better control of Mabs growth and reduced virulence. Genetic and pharmacological inhibition of the CFTR is associated with better growth and higher virulence of S and R Mabs. Finally, pharmacological activation of antioxidant pathways inhibited Mabs growth, at least in part through the quinone oxidoreductase NQO1, and improved efficacy in combination with cefoxitin, a first line antibiotic. In conclusion, we have established AOs as a suitable human system to decipher mechanisms of CF-driven respiratory infection by Mabs and propose boosting of the NRF2-NQO1 axis as a potential host-directed strategy to improve Mabs infection control.
KW - Humans
KW - Cystic Fibrosis/drug therapy
KW - Mycobacterium abscessus
KW - Antioxidants
KW - Oxidation-Reduction
KW - Oxidative Stress
U2 - 10.1371/journal.ppat.1011559
DO - 10.1371/journal.ppat.1011559
M3 - Article
C2 - 37619220
SN - 1553-7366
VL - 19
SP - e1011559
JO - PLoS Pathogens
JF - PLoS Pathogens
IS - 8
ER -