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February 23, 2025Open Access

The immunometabolic topography of tuberculosis granulomas governs cellular organization and bacterial control

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Authors

EMErin McCaffreyADAlea DelmastroIFIsobel Fitzhugh

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Overview

Spatial analysis uncovers hypoxic microenvironments blocking lymphocyte infiltration in primate tuberculosis granulomas, highlighting hypoxia as a prime driver of bacterial persistence.

Key Points

  • To identify the key drivers that establish an immunosuppressive niche within tuberculosis granulomas and assess whether the magnitude of this response associates with bacterial persistence.
  • Conducted a multimodal spatial analysis of 52 granulomas from 16 non-human primates infected with low-dose Mycobacterium tuberculosis for 9 to 12 weeks.
  • Quantified the bacterial burden of each individual granuloma to evaluate the relationship between spatial architecture and pathogen control.
  • Revealed universal partitioning of the granuloma myeloid core into two distinct metabolic zones, with one region exhibiting severe hypoxia.
  • Associated the hypoxic zone with pathologic immune cell states, disrupted cellular organization, and a near-complete blockade of lymphocyte infiltration.
  • Determined that the magnitude of hypoxia-linked structural and cellular abnormalities directly correlated with elevated bacterial burden.

Cite This Study

McCaffrey et al. (2025) studied this question.

synapsesocial.com/papers/69daa422a6045d71bfa3d613https://doi.org/10.1101/2025.02.18.638923
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