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Publication : NAD<sup>+</sup> Depletion Triggers Macrophage Necroptosis, a Cell Death Pathway Exploited by Mycobacterium tuberculosis.

First Author  Pajuelo D Year  2018
Journal  Cell Rep Volume  24
Issue  2 Pages  429-440
PubMed ID  29996103 Mgi Jnum  J:271251
Mgi Id  MGI:6279130 Doi  10.1016/j.celrep.2018.06.042
Citation  Pajuelo D, et al. (2018) NAD(+) Depletion Triggers Macrophage Necroptosis, a Cell Death Pathway Exploited by Mycobacterium tuberculosis. Cell Rep 24(2):429-440
abstractText  Mycobacterium tuberculosis (Mtb) kills infected macrophages by inhibiting apoptosis and promoting necrosis. The tuberculosis necrotizing toxin (TNT) is a secreted nicotinamide adenine dinucleotide (NAD(+)) glycohydrolase that induces necrosis in infected macrophages. Here, we show that NAD(+) depletion by TNT activates RIPK3 and MLKL, key mediators of necroptosis. Notably, Mtb bypasses the canonical necroptosis pathway since neither TNF-alpha nor RIPK1 are required for macrophage death. Macrophage necroptosis is associated with depolarized mitochondria and impaired ATP synthesis, known hallmarks of Mtb-induced cell death. These results identify TNT as the main trigger of necroptosis in Mtb-infected macrophages. Surprisingly, NAD(+) depletion itself was sufficient to trigger necroptosis in a RIPK3- and MLKL-dependent manner by inhibiting the NAD(+) salvage pathway in THP-1 cells or by TNT expression in Jurkat T cells. These findings suggest avenues for host-directed therapies to treat tuberculosis and other infectious and age-related diseases in which NAD(+) deficiency is a pathological factor.
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