Moreover, patients with CNS TB and meningitis have extensive blood vessel involvement and significant endovasculitis with the intima (comprising brain endothelia) most severely affected [21]. Goldzieher et al. have further shown that M. tuberculosis can be found inside brain endothelia of patients with TB meningitis [22]. Seminal work by

Rich et al, later confirmed by MacGregor and colleagues, demonstrated that free M. tuberculosis can invade the CNS [7, 23]. More modern data utilizing CD18-/- leukocyte adhesion deficient mice suggest that free mycobacteria can traverse the BBB independent of leukocytes or macrophages [24]. These data emphasize the central role of brain endothelia in the pathogenesis of CNS TB and underscore GS-9973 clinical trial the importance of our observation that the pknD mutant displayed defective invasion and reduced survival in brain endothelia. While AZD6738 supplier endothelial cells are not professionally phagocytic, they are capable of mounting an antiSelleck Berzosertib bacterial response through the release of antimicrobial peptides. Activation of endothelial barriers can also trigger bacterial killing via

NO- or H2O2-dependent pathways [25, 26]. It is possible that disruption of pknD disables a bacterial response pathway necessary for survival in these unique conditions, resulting in the reduced intracellular growth we observed during infection of brain endothelial cells. Reduced invasion was not observed in other cells previously utilized to evaluate invasion and dissemination defects of M. tuberculosis mutants and clinical strains [19, 27]. However, one of the limitations of the current study is that other CNS cell types such as microglia and astrocytes, which could play Elongation factor 2 kinase a role in mycobacterial infection and killing in vivo, were not evaluated. M. tuberculosis pknD encodes a “”eukaryotic-like”" STPK, a family of bacterial signaling proteins. STPKs occur in numerous pathogenic bacteria, and M. tuberculosis encodes 11 putative STPKs (pknA-L). Good

et al have demonstrated that the M. tuberculosis PknD sensor is composed of a highly symmetric six-bladed β-propeller forming a cup with a functional binding surface [28]. The β-propeller is a widespread motif found mostly in eukaryotes, although it was first described in influenza virus neuraminidase [29]. Takagi et al have shown that nidogen, a β-propeller-containing protein in humans which is homologous to the sensor domain of M. tuberculosis PknD, is required for binding to laminin [30]. Similarly, Trypanosoma cruzi, a protozoan pathogen that causes meningoencephalitis in humans, has a PknD homolog (Tc85-11), also possessing a β-propeller, that selectively binds to laminin [31]. In accordance with bioinformatics predictions, M. tuberculosis PknD has been identified as an integral membrane protein in several proteomics studies [32, 33].