Cheng Zhou-Li, Zhang Shuyuan, Wang Zhenning, Song Aixia, Gao Chao, Song Jun-Bin, Wang Pu, Zhang Lei, Zhou Yue, Shan Wenyan, Zhang Chen, Zhang Jinye, Sun Yiping, Xu Yanhui, Lan Fei, Zhong Ming, Lyu Liang-Dong, Huang Guanghua, Chen Fei Xavier, Li Gang, Wang Zixin, Chen Faying, Xue Jianhuang, Shi Jiejun, Liu Yujun, Lin Zihao, Wu Duojiao, Na Jim, Chen Lei-Lei, Guan Kun-Liang, Xiong Yue, Ye Dan
Jinshan Hospital Center for Tumor Diagnosis & Therapy, Jinshan Hospital, Fudan University, and Shanghai Key Laboratory of Medical Epigenetics, International Co-laboratory of Medical Epigenetics and Metabolism of Ministry of Science and Technology, and Key Laboratory of Metabolism and Molecular Medicine of Ministry of Education, and Molecular and Cell Biology Lab, Institutes of Biomedical Sciences, Shanghai Medical College of Fudan University, Shanghai 200032, China.
Department of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Cell Metab. 2025 May 6;37(5):1137-1151.e5. doi: 10.1016/j.cmet.2025.01.019. Epub 2025 Mar 3.
Pathogenic bacterial persistence enables survival during antibiotic treatment, leading to treatment failure and recurrent infections, yet its underlying mechanisms remain unclear. Here, we reveal that glyoxylate, a metabolite originally evolved for alternative carbon utilization, functions as a signaling molecule to reprogram the host transcriptome and promote persister formation. Glyoxylate inhibits the DNA dioxygenase TET2, suppressing pro-inflammatory gene expression and attenuating host immune defense. Notably, stimulating TET2 activity with vitamin C or blocking glyoxylate production by Salmonella reduces bacterial antibiotic resistance and improves infection treatment outcomes. Beyond its metabolic role, glyoxylate emerges as a regulator of host-pathogen interactions, while TET2 plays a critical role in preventing bacterial persistence. Our findings suggest that targeting glyoxylate production or enhancing TET2 activity offers promising therapeutic strategies to combat bacterial persistence and enhance the efficacy of antibiotic treatments.
致病性细菌的持续存在使细菌能够在抗生素治疗期间存活,导致治疗失败和反复感染,但其潜在机制仍不清楚。在这里,我们揭示了乙醛酸,一种最初为替代碳利用而进化的代谢物,作为一种信号分子重新编程宿主转录组并促进持留菌的形成。乙醛酸抑制DNA双加氧酶TET2,抑制促炎基因表达并减弱宿主免疫防御。值得注意的是,用维生素C刺激TET2活性或阻断沙门氏菌的乙醛酸产生可降低细菌的抗生素耐药性并改善感染治疗结果。除了其代谢作用外,乙醛酸还成为宿主-病原体相互作用的调节剂,而TET2在预防细菌持续存在方面起着关键作用。我们的研究结果表明,针对乙醛酸产生或增强TET2活性提供了有前景的治疗策略,以对抗细菌持续存在并提高抗生素治疗的疗效。