Metabolic competition between host and pathogen dictates inflammasome responses to fungal infection

PLoS Pathog. 2020 Aug 4;16(8):e1008695. doi: 10.1371/journal.ppat.1008695. eCollection 2020 Aug.

Abstract

The NLRP3 inflammasome has emerged as a central immune regulator that senses virulence factors expressed by microbial pathogens for triggering inflammation. Inflammation can be harmful and therefore this response must be tightly controlled. The mechanisms by which immune cells, such as macrophages, discriminate benign from pathogenic microbes to control the NLRP3 inflammasome remain poorly defined. Here we used live cell imaging coupled with a compendium of diverse clinical isolates to define how macrophages respond and activate NLRP3 when faced with the human yeast commensal and pathogen Candida albicans. We show that metabolic competition by C. albicans, rather than virulence traits such as hyphal formation, activates NLRP3 in macrophages. Inflammasome activation is triggered by glucose starvation in macrophages, which occurs when fungal load increases sufficiently to outcompete macrophages for glucose. Consistently, reducing Candida's ability to compete for glucose and increasing glucose availability for macrophages tames inflammatory responses. We define the mechanistic requirements for glucose starvation-dependent inflammasome activation by Candida and show that it leads to inflammatory cytokine production, but it does not trigger pyroptotic macrophage death. Pyroptosis occurs only with some Candida isolates and only under specific experimental conditions, whereas inflammasome activation by glucose starvation is broadly relevant. In conclusion, macrophages use their metabolic status, specifically glucose metabolism, to sense fungal metabolic activity and activate NLRP3 when microbial load increases. Therefore, a major consequence of Candida-induced glucose starvation in macrophages is activation of inflammatory responses, with implications for understanding how metabolism modulates inflammation in fungal infections.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • BALB 3T3 Cells
  • Candida albicans / immunology*
  • Candida albicans / metabolism
  • Candidiasis / immunology*
  • Candidiasis / metabolism
  • Candidiasis / microbiology
  • Caspase 1 / physiology
  • Caspases, Initiator / physiology
  • Female
  • Glucose / deficiency*
  • Host-Pathogen Interactions / immunology*
  • Hyphae
  • Inflammation / immunology*
  • Inflammation / metabolism
  • Inflammation / microbiology
  • Intracellular Signaling Peptides and Proteins / physiology
  • Macrophages / immunology*
  • Macrophages / metabolism
  • Macrophages / microbiology
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • NLR Family, Pyrin Domain-Containing 3 Protein / physiology*
  • Phosphate-Binding Proteins / physiology
  • Pyroptosis

Substances

  • Gsdmd protein, mouse
  • Intracellular Signaling Peptides and Proteins
  • NLR Family, Pyrin Domain-Containing 3 Protein
  • Nlrp3 protein, mouse
  • Phosphate-Binding Proteins
  • Casp4 protein, mouse
  • Caspases, Initiator
  • Casp1 protein, mouse
  • Caspase 1
  • Glucose

Grants and funding

This work has been supported by Project Grants from the National Health and Medical Research Council of Australia, specifically APP1081072 (to AT and TN) and APP1158678 (to AT). TN and AT are Future Fellows of the Australian Research Council (FT170100313 to TN and FT190100733 to AT). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.