Subcellular antibiotic visualization reveals a dynamic drug reservoir in infected macrophages

Tuberculosis, caused by the intracellular pathogen Mycobacterium tuberculosis, remains the world’s deadliest infectious disease. Sterilizing chemotherapy requires at least 6 months of multidrug therapy. Difficulty visualizing the subcellular localization of antibiotics in infected host cells means t...

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Veröffentlicht in:Science (American Association for the Advancement of Science) 2019-06, Vol.364 (6447), p.1279-1282
Hauptverfasser: Greenwood, Daniel J., Dos Santos, Mariana Silva, Huang, Song, Russell, Matthew R. G., Collinson, Lucy M., MacRae, James I., West, Andy, Jiang, Haibo, Gutierrez, Maximiliano G.
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container_issue 6447
container_start_page 1279
container_title Science (American Association for the Advancement of Science)
container_volume 364
creator Greenwood, Daniel J.
Dos Santos, Mariana Silva
Huang, Song
Russell, Matthew R. G.
Collinson, Lucy M.
MacRae, James I.
West, Andy
Jiang, Haibo
Gutierrez, Maximiliano G.
description Tuberculosis, caused by the intracellular pathogen Mycobacterium tuberculosis, remains the world’s deadliest infectious disease. Sterilizing chemotherapy requires at least 6 months of multidrug therapy. Difficulty visualizing the subcellular localization of antibiotics in infected host cells means that it is unclear whether antibiotics penetrate all mycobacteria-containing compartments in the cell. Here, we combined correlated light, electron, and ion microscopy to image the distribution of bedaquiline in infected human macrophages at submicrometer resolution. Bedaquiline accumulated primarily in host cell lipid droplets, but heterogeneously in mycobacteria within a variety of intracellular compartments. Furthermore, lipid droplets did not sequester antibiotic but constituted a transferable reservoir that enhanced antibacterial efficacy. Thus, strong lipid binding facilitated drug trafficking by host organelles to an intracellular target during antimicrobial treatment.
doi_str_mv 10.1126/science.aat9689
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source American Association for the Advancement of Science; MEDLINE
subjects Antibiotics
Antiinfectives and antibacterials
Antitubercular Agents - analysis
Antitubercular Agents - pharmacokinetics
Antitubercular Agents - pharmacology
Bacilli
Chemotherapy
Communicable Diseases
Compartments
Diarylquinolines - analysis
Diarylquinolines - pharmacokinetics
Diarylquinolines - pharmacology
Droplets
Drug efficacy
Effectiveness
Humans
Infectious diseases
Intracellular
Lipid Droplets - chemistry
Lipid Droplets - metabolism
Lipids
Localization
Macrophages
Macrophages - chemistry
Macrophages - metabolism
Macrophages - microbiology
Microscopy, Electron
Mycobacterium tuberculosis
Organelles
Pathogens
Tuberculosis
title Subcellular antibiotic visualization reveals a dynamic drug reservoir in infected macrophages
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