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Lipid accumulation in tuberculosis granulomas inhibits macrophage-CD4+ T cell interactions and infection control - PubMed

19 hours ago
  • #immune response
  • #tuberculosis
  • #cholesterol
  • Lipid accumulation, specifically cholesterol, in tuberculosis granulomas impairs macrophage-CD4+ T cell interactions and infection control.
  • Infection or exposure to mycolic acids disrupts cholesterol trafficking in macrophages, leading to cholesterol build-up and sequestration of MHC class II in lysosomes.
  • This cholesterol overload reduces antigen presentation and weakens anti-Mtb CD4+ T cell responses, particularly in necrotic granulomas.
  • Restoring cholesterol homeostasis pharmacologically during late-stage infection improves Mtb control in mice, suggesting a therapeutic target.