Synergistic role of Mycobacterium indicus pranii and human beta Defensin-2 as adjunctive therapy against Mycobacterium tuberculosis.

Publication date: Dec 01, 2024

Host-directed therapies (HDT) via modulation of specific host responses like inflammation can limit mycobacterial infection. HDTs could be included in current TB therapy as an adjunct to increase bacterial clearance and limit tissue damage to control spread. Individually, Mycobacterium indicus pranii (MIP) and human beta defensin-2 (hBD-2) are promising therapies for tuberculosis (TB). They can directly target the TB bacilli and enhance cell-mediated immune responses, which is limiting with conventional drugs. Therefore, our study investigated the combined application of MIP and hBD-2 to evaluate their efficacy in clearing infections caused by Mycobacterium smegmatis (M. smeg) and Mycobacterium tuberculosis (M. tb) (both avirulent; H37Ra and virulent strain; H37Rv) in THP-1 cells and human monocyte-derived macrophages (MDMs). A strong pro-inflammatory response was observed against the combination of MIP and hBD-2 which also correlated with a significant reduction in the bacterial load. This combination further showed protection against M. tb by enhancing pyroptosis in the infected cells. The study suggests the combined use of these potent immunomodulators, which could be employed as an effective mode of therapy as adjuvants against mycobacterial infections after validation in a suitable animal model.

Concepts Keywords
H37rv Antitubercular Agents
Mycobacterium Antitubercular Agents
Therapy Bacterial Load
Tuberculosis beta-Defensins
Virulent beta-Defensins
Cytokines
Cytokines
Drug Synergism
Host-Pathogen Interactions
Humans
Macrophages
Mycobacterium smegmatis
Mycobacterium tuberculosis
Pyroptosis
THP-1 Cells
Tuberculosis
Tuberculosis (TB)

Semantics

Type Source Name
disease IDO role
disease IDO host
disease MESH inflammation
disease MESH infection
disease MESH tuberculosis
pathway KEGG Tuberculosis
disease IDO cell
pathway REACTOME Pyroptosis
pathway REACTOME Defensins
disease IDO pathogen

Original Article

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