Cell Reports (May 2025)

Phagosomal RNA sensing through TLR8 controls susceptibility to tuberculosis

  • Charlotte Maserumule,
  • Charlotte Passemar,
  • Olivia S.H. Oh,
  • Kriztina Hegyi,
  • Karen Brown,
  • Aaron Weimann,
  • Adam Dinan,
  • Sonia Davila,
  • Catherine Klapholz,
  • Josephine Bryant,
  • Deepshikha Verma,
  • Jacob Gadwa,
  • Shivankari Krishnananthasivam,
  • Kridakorn Vongtongsalee,
  • Edward Kendall,
  • Andres Trelles,
  • Martin L. Hibberd,
  • Joaquín Sanz,
  • Jorge Bertol,
  • Lucia Vázquez-Iniesta,
  • Kaliappan Andi,
  • S. Siva Kumar,
  • Diane Ordway,
  • Rafael Prados-Rosales,
  • Paul A. MacAry,
  • R. Andres Floto

Journal volume & issue
Vol. 44, no. 5
p. 115657

Abstract

Read online

Summary: Genetic determinants of susceptibility to Mycobacterium tuberculosis (Mtb) remain poorly understood but could provide insights into critical pathways involved in infection, informing host-directed therapies and enabling risk stratification at individual and population levels. Through a genome-wide forward genetic screen, we identify Toll-like receptor 8 (TLR8) as a key regulator of intracellular killing of Mtb. Pharmacological TLR8 activation enhances the killing of phylogenetically diverse clinical isolates of drug-susceptible and multidrug-resistant Mtb by macrophages and during in vivo infection in mice. TLR8 is activated by phagosomal mycobacterial RNA released by extracellular membrane vesicles and enhances xenophagy-dependent Mtb killing. We find that the TLR8 variant M1V, common in Far Eastern populations, enhances intracellular killing of Mtb through preferential signal-dependent trafficking to phagosomes. TLR8 signaling may, therefore, both regulate susceptibility to tuberculosis and provide novel drug targets.

Keywords