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GABAergic activation enhances autophagy and phagosomal








                                                               maturation in macrophages during mycobacterial infection












                                                                                            Seul Gi Shin                           1,2,3     , Jin Kyung Kim                                  1,2,3      , Yi Sak Kim                         1,2,3      , Hyun-Woo Suh                                     1,2,3       and Eun-Kyeong Jo                                             1,2,3*








    1 Department of Microbiology,  Department of Medical Science,  Infection Control Convergence Research Center, Chungnam National University School
                                                                                                                                                                                                         3
                                                                                               2
                                                                                                                                                                     of Medicine, Daejeon 35015, Republic of Korea.







                                                                                                                                                                                                                      ABSTRACT






  Gamma-aminobutyric acid (GABA) is the major inhibitory neurotransmitter within the central nervous system and has been extensively studied in neurological disorders,



  such as epilepsy, anxiety disorders, and schizophrenia. However, the roles of GABA in antimicrobial host defenses are largely unknown. To define the mechanism by


  which GABA triggers the antimicrobial host defense system during intracellular bacterial infection, we used RNA sequencing to analyze the GABA-mediated, genome-



  wide transcriptional changes in bone marrow-derived macrophages (BMDMs). GABA treatment led to an upregulation of numerous genes involved in autophagy in



  BMDMs. When we next explored whether GABA activated autophagy, we found that GABA significantly increased the mRNA expression levels of autophagy-related



  genes involved in autophagosome formation and autolysosome maturation in BMDMs. We further showed that treatment of BMDMs with GABA or GABAAR agonists



  robustly increased the autophagosomal membrane-associated LC3-II fractions and autophagic flux. In addition, we showed that GABA-induced autophagy activation


  was required for phagosomal maturation during Mtb infection. Taken together, both GABA and GABAergic activation enhanced activation of autophagy and



  phagosomal maturation during Mtb infection.







                                                                                                                                                                                                             INTRODUCTION







                                                                                                                                                                                                                                                                                                                          • Gamma-aminobutyric acid (GABA) is the major inhibitory


                                                                                                                                                                                                                                                                                                                                 neurotransmitter within the central nervous system and has



                                                                                                                                                                                                                                                                                                                                 been extensively studied in neurological disorders.


                                                                                                                                                                                                                                                                                                                          • Preclinical studies suggest the potential application of GABA


                                                                                                                                                                                                                                                                                                                                 or GABAergic (agonistic) drugs as new therapeutics against


                                                                                                                                                                                                                                                                                                                                 autoimmune and inflammatory diseases.


                                                                                                                                                                                                                                                                                                                          • As a crucial innate immune arm, the autophagy pathway


                                                                                                                                                                                                                                                                                                                               provides a protective role against a variety of intracellular



                                                                                                                                                                                                                                                                                                                               bacterial pathogens, including Mycobacterium tuberculosis


                                                                                                                                                                                                                                                                                                                               (Mtb).


                                                                                                                                                                                                                                                                                                                          • Nonetheless, it is poorly understood whether and how


                                                                                                                                                                                                                                                                                                                                 GABAergic signaling regulates antimicrobial host defenses in



                                                                                                                                                                                                                                                                                                                                 the context of bacterial infections.







                                                                                                                                                                                                                              RESULT








      GABAergic activation enhances autophagy in macrophages.                                                                                                                                                                                        GABAergic autophagy promotes Mtb phagosomal maturation.







            a                                                                                      b


                                                                                                                                                                                                                                                     a                                                                                                       b









                                                                                                                                                                                                                                                                                                                                                                                                                     (a–d) BMDMs were infected


                                                                                                                                                                                                                                                                                                                                                                                                                     with Mtb-ERFP (MOI of 5) for


                                                                                                                                                                                                                                                                                                                                                                                                                     4 h, incubated with GABA


                                                                                                                                                                                                                                                                                                                                                                                                                     (100 μM), muscimol (Mus;


                                                                                                                                                                                                                                                                                                                                                                                                                     100           μM),            or        isoguvacine


                                                                                                                                                                                                                                                                                                                                                                                                                     hydrochloride (Iso; 100 μM)


                                                                                                                                                                                                                                                                                                                                                                                                                     for 18 h, then stained with


                                                                                                                                                                                                                                                                                                                                                                                                                     LC3 (green; a, b) or LAMP2


                                                                                                                                                                                                                                                                                                                                                                                                                     (green; c, d), and DAPI (for

                                                                                                                                                                                                                                                                                                                                                                                                                     nuclei; blue).


                                                                                                   d                                                                               e                                                                                                                                                                                                                                 (a) Cells were visualized by


                                                                                                                                                                                                                                                     c                                                                                                      d                                                        confocal microscopy. Scale


                                                                                                                                                                                                                                                                                                                                                                                                                     bars, 5 μm. (b) Quantitative


                                                                                                                                                                                                                                                                                                                                                                                                                     data of colocalization of Mtb-


                                                                                                                                                                                                                                                                                                                                                                                                                     ERFP and LC3 per cell.


                                                                                                                                                                                                                                                                                                                                                                                                                     (c) Cells were visualized by


                                                                                                                                                                                                                                                                                                                                                                                                                     confocal microscopy. Scale
            c                                                                                                                                                                                                                                                                                                                                                                                                        bars, 5 μm. (d) Quantitative




                                                                                                                                                                                                                                                                                                                                                                                                                     data of colocalization of Mtb-


                                                                                                                                                                                                                                                                                                                                                                                                                     ERFP and LAMP2 per cell.


                                                                                                         f                                                                                                                                                                                                                                                                                                           e–f Mice were injected i.v.

                                                                                                                                                                                                                                                                                                                                                                                                                     with Mtb (1 × 10                                6     CFU),


                                                                                                                                                                                                                                                                                                                                                                                                                     treated with PBS or GABA


                                                                                                                                                                                                                                                                                                                                                                                                                     (daily i.p. 200 mg/kg), and


                                                                                                                                                                                                                                                                                                                                                                                                                     monitored at 14 days post-

                                                                                                                                                                                                                                                    e                                                                                                      f                                                         infection (dpi).



                                                                                                                                                                                                                                                                                                                                                                                                                     (e) Representative low- (top)


                                                                                                                                                                                                                                                                                                                                                                                                                     and                       high-magnification


                                                                                                                                                                                                                                                                                                                                                                                                                     (bottom)                               transmission
    (a) Heatmap analysis of the RNAseq data (representative of duplicate determinations). BMDMs were                                                                                                                                                                                                                                                                                                                 electron micrographs of lung


    treated with GABA (100 μM) for the indicated times and then subjected to RNAseq analysis. (b)                                                                                                                                                                                                                                                                                                                    tissues. Scale bars, 1 μm


    BMDMs were treated with GABA (100 μM) for 6 h. Cells were subjected to qRT-PCR to determine                                                                                                                                                                                                                                                                                                                      (top) and 200 nm (bottom).


    mRNA levels of autophagy genes. (c) BMDMs were treated with GABA (10, 50, or 100 μM) for 18 h                                                                                                                                                                                                                                                                                                                    (f)         Quantitative                      data             of

    and the expression of LC3B was analyzed by flow cytometry (horizontal axis, fluorescence (FITC)                                                                                                                                                                                                                                                                                                                  phagosomes                                                 and


    intensity). (d, e) BMDMs were incubated with GABA (100 μM), muscimol (Mus; 100 μM), or                                                                                                                                                                                                                                                                                                                           autophagosomes containing


    isoguvacine hydrochloride (Iso; 100 μM) and then stained with LC3 (green) and DAPI (nuclei; blue).                                                                                                                                                                                                                                                                                                               Mtb.


    (d) Confocal microscopic analysis. Scale bars, 5 μm. (e) Quantitative data of LC3 punctate analysis.


    (f) BMDMs were pretreated with or without bafilomycin A1 (BafA, 200 nM; 2 h) and incubated with


    GABA (10, 50, or 100 μM), Mus (100 μM), or Iso (100 μM) for 18 h. LC3 and β-tubulin levels were


    evaluated by immunoblotting.








                                                                                          CONCLUSION                                                                                                                                                                                                                                       REFERENCE









      These data reveal that either exogenous GABA treatment or GABAergic activation                                                                                                                                                              • Wong, C. G., Bottiglieri, T. & Snead, O. C. 3rd (2003). GABA, gamma-hydroxybutyric acid,



            triggers the activation of autophagy in macrophages.                                                                                                                                                                                          and neurological disease. Ann. Neurol. 54, S3–S12.


      GABA and GABAergic activation enhanced phagosomal maturation during Mtb                                                                                                                                                                     • Prud’homme, G. J., Glinka, Y. & Wang, Q. (2015). Immunological GABAergic interactions



            infection.                                                                                                                                                                                                                                    and therapeutic applications in autoimmune diseases. Autoimmun. Rev. 14, 1048–1056.


      our data show that GABA or GABAergic activation induces autophagy, which in



            turn promotes phagosomal maturation and host antimicrobial responses to                                                                                                                                                                • Gutierrez, M. G. et al. (2004). Autophagy is a defense mechanism inhibiting BCG and



            intracellular bacterial infections including Mtb and BCG.                                                                                                                                                                                     Mycobacterium tuberculosis survival in infected macrophages. Cell 119, 753–766.
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