Mycobacterium tuberculosis (Mtb), one of the deadliest pathogens worldwide, infects healthy individuals through aerosols transmitted from an infected person while sneezing or coughing1. Once it enters the lungs, it is engulfed by the alveolar macrophages, hijacking the host immune system to survive. Among various host modulatory mechanisms that Mtb has for survival, secretory virulence factors are one of them. The proteins secreted into the culture media by the bacilli during its growth are termed Culture Filtrate (CF) proteins2. These culture filtrate proteins help bacteria to survive in harsh conditions inside the host cells. Mtb is equipped with three different kinds of secretion systems: a specialized Type VII secretion system (T7SS), a general Sec secretion system (Sec system), and a twin-arginine secretion system (Tat system). T7SS is the most exclusive secretion system in actinobacteria, unlike type I-VI in Gram-negative bacteria3. The secretion of unfolded protein across the membrane is majorly involved in the Sec system, and the proteins are recognized by an N-terminal signal sequence4,5. Folded or partially folded proteins are transported through the Tat system, identified by an N-terminal signal sequence with a twin-arginine motif6,7. How the Sec and Tat system regulates protein secretion has yet to be determined.
Some known culture filtrate proteins in Mtb that help withstand and survive the host oxidative onslaught upon infection are enzymes such as KatG and SodA8,9, necessary for degrading reactive oxygen species. In addition, CFP10-ESAT6, a heterodimeric protein complex, plays a vital role in regulating cytokine responses, bacterial escape, ROS production, etc.10. RD1 locus is involved in modulating the Type VII secretion system, which includes secretion of CFP10-ESAT6, and the genetic deletion of cpf10-esat6 compromises the survival of bacteria in ex vivo and in vivo infection models. Mycobacterium bovis BCG vaccine strain lacks RD1 locus responsible for the secretion of virulence factors and hence can be used as the live attenuated vaccine11. Different unexplored cellular processes tightly regulate the secretion process. The culture filtrate proteins contain resuscitation-promoting factors (RpFs) that help the bacteria regrow from the latent state. Resuscitation-promoting factors (Rpfs) are peptidoglycan hydrolyzing enzymes that are known to play a role in dormancy. Mtb encodes for five rpf-like genes (rpf A-E) that help the bacteria regrow from dormancy either solo or by interacting with other proteins12. Rpfs are found in bacterial culture filtrate and are known to be involved in Mtb virulence and host immunity13,14. The widely studied rpf genes rpfE and rpfB show protective immunity in vitro13 and enhance immune responses in vivo. Hence, rpfE and rpfB can be used as Mtb vaccine candidates.
Reversible phosphorylation15 is a post-translational modification that alters various cellular processes, cell homeostasis, cell division, etc. For example, phosphorylation of CFP10 plays an important regulatory role, where both phosphoablative and mimetic mutants of CFP10 fail to restore the observed phenotype in the CFP10-ESAT6 deletion strain16. SecA2, on the other hand, is a secretory protein involved in DNA damage of the host cell17. The secretome of the SecA2 mutant is sufficient to change the host immune response and signaling cascade18,19. Thus, it is essential and exciting to investigate the secretome of H37Rv and the Mtb mutants, where the genes of the secretory proteins are deleted (unpublished data), to gain insights into how they impact host immunomodulation and survival.
This report focuses on three aspects: the steps involved in preparing Mtb culture filtrate, processing the samples for mass spectrometry, and performing ex vivo experiments with culture filtrates to examine immunomodulatory functions. Earlier studies showed the identification of culture filtrate proteins by 2D gel electrophoresis followed by Mass spectrometric analysis8. Culture filtrate proteins from drug-sensitive and resistant strains were identified using mass spectrometry to gain insights into the secretome changes and identify virulence factors that may play a role in drug resistance20. We have previously investigated Mtb's secretome and phosphosecretome with the help of mass spectrometry16. Techniques such as 2D gel electrophoresis are low throughput and are not used to investigate global changes in the proteome or secretome. The culture filtrate proteins would vary from bacterial strains, stages of the growing cells, and even in various stress conditions. Depending on different situations, the change in the secretory protein pools inside the cells would offer to explore the whole secretome holistically and provide more information about the bacterial secretion system for therapeutic interventions. It would be even more attractive to look at the secretome in the knockouts or depletion strains of secretory systems to gain further insights into the pathways and targets of each secretory pathway. Treating cells with culture filtrate proteins instead of bacteria changes cytokine levels and other immunomodulatory factors17. With the help of the secretome study, one can identify new virulence factors and their role in virulence.