<?xml version="1.0" ?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD v1.3 20210610//EN"  "JATS-archivearticle1-mathml3.dtd"><article xmlns:ali="http://www.niso.org/schemas/ali/1.0/" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="1.3" xml:lang="en">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">elife</journal-id>
<journal-id journal-id-type="publisher-id">eLife</journal-id>
<journal-title-group>
<journal-title>eLife</journal-title>
</journal-title-group>
<issn publication-format="electronic" pub-type="epub">2050-084X</issn>
<publisher>
<publisher-name>eLife Sciences Publications, Ltd</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">90107</article-id>
<article-id pub-id-type="doi">10.7554/eLife.90107</article-id>
<article-id pub-id-type="doi" specific-use="version">10.7554/eLife.90107.1</article-id>
<article-version-alternatives>
<article-version article-version-type="publication-state">reviewed preprint</article-version>
<article-version article-version-type="preprint-version">1.1</article-version>
</article-version-alternatives>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology and Inflammation</subject>
</subj-group>
<subj-group subj-group-type="heading">
<subject>Microbiology and Infectious Disease</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Inflammasomes primarily restrict cytosolic <italic>Salmonella</italic> replication within human macrophages</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-6191-5552</contrib-id>
<name>
<surname>Egan</surname>
<given-names>Marisa S.</given-names>
</name>
<xref ref-type="aff" rid="a1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>O’Rourke</surname>
<given-names>Emily A.</given-names>
</name>
<xref ref-type="aff" rid="a1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mageswaran</surname>
<given-names>Shrawan Kumar</given-names>
</name>
<xref ref-type="aff" rid="a2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zuo</surname>
<given-names>Biao</given-names>
</name>
<xref ref-type="aff" rid="a3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Martynyuk</surname>
<given-names>Inna</given-names>
</name>
<xref ref-type="aff" rid="a3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Demissie</surname>
<given-names>Tabitha</given-names>
</name>
<xref ref-type="aff" rid="a1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hunter</surname>
<given-names>Emma N.</given-names>
</name>
<xref ref-type="aff" rid="a1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bass</surname>
<given-names>Antonia R.</given-names>
</name>
<xref ref-type="aff" rid="a1">1</xref>
<xref ref-type="author-notes" rid="n1">†</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chang</surname>
<given-names>Yi-Wei</given-names>
</name>
<xref ref-type="aff" rid="a2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Brodsky</surname>
<given-names>Igor E.</given-names>
</name>
<xref ref-type="aff" rid="a4">4</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Shin</surname>
<given-names>Sunny</given-names>
</name>
<xref ref-type="aff" rid="a1">1</xref>
<xref ref-type="corresp" rid="cor1">#</xref>
</contrib>
<aff id="a1"><label>1</label><institution>Department of Microbiology, Perelman School of Medicine, University of Pennsylvania</institution>, Philadelphia, PA</aff>
<aff id="a2"><label>2</label><institution>Department of Biochemistry and Biophysics, Perelman School of Medicine, University of Pennsylvania</institution>, Philadelphia, PA</aff>
<aff id="a3"><label>3</label><institution>Electron Microscopy Resource Laboratory, Department of Biochemistry &amp; Biophysics, Perelman School of Medicine, University of Pennsylvania</institution>, Philadelphia, PA</aff>
<aff id="a4"><label>4</label><institution>Department of Pathobiology, University of Pennsylvania School of Veterinary Medicine</institution>, Philadelphia, PA</aff>
</contrib-group>
<contrib-group content-type="section">
<contrib contrib-type="editor">
<name>
<surname>Weigel</surname>
<given-names>Detlef</given-names>
</name>
<role>Reviewing Editor</role>
<aff>
<institution-wrap>
<institution>Max Planck Institute for Biology Tübingen</institution>
</institution-wrap>
<city>Tübingen</city>
<country>Germany</country>
</aff>
</contrib>
<contrib contrib-type="senior_editor">
<name>
<surname>Weigel</surname>
<given-names>Detlef</given-names>
</name>
<role>Senior Editor</role>
<aff>
<institution-wrap>
<institution>Max Planck Institute for Biology Tübingen</institution>
</institution-wrap>
<city>Tübingen</city>
<country>Germany</country>
</aff>
</contrib>
</contrib-group>
<author-notes>
<corresp id="cor1"><label>#</label>Address correspondence to Sunny Shin, <email>sunshin@pennmedicine.upenn.edu</email>.</corresp>
<fn fn-type="present-address" id="n1"><label>†</label><p>MRL, Merck &amp; Co., Inc., Kenilworth, NJ</p></fn>
</author-notes>
<pub-date date-type="original-publication" iso-8601-date="2023-08-24">
<day>24</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>12</volume>
<elocation-id>RP90107</elocation-id>
<history>
<date date-type="sent-for-review" iso-8601-date="2023-07-05">
<day>05</day>
<month>07</month>
<year>2023</year>
</date>
</history>
<pub-history>
<event>
<event-desc>Preprint posted</event-desc>
<date date-type="preprint" iso-8601-date="2023-07-18">
<day>18</day>
<month>07</month>
<year>2023</year>
</date>
<self-uri content-type="preprint" xlink:href="https://doi.org/10.1101/2023.07.17.549348"/>
</event>
</pub-history>
<permissions>
<copyright-statement>© 2023, Egan et al</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Egan et al</copyright-holder>
<ali:free_to_read/>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<ali:license_ref>https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This article is distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use and redistribution provided that the original author and source are credited.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="elife-preprint-90107-v1.pdf"/>
<abstract>
<title>Abstract</title><p><italic>Salmonella enterica</italic> serovar Typhimurium is a facultative intracellular pathogen that utilizes its type III secretion systems (T3SSs) to inject virulence factors into the host cell and colonize the host. In turn, a subset of cytosolic immune receptors respond to T3SS ligands by forming multimeric signaling complexes called inflammasomes, which activate caspases that induce interleukin-1 (IL-1) family cytokine release and an inflammatory form of cell death called pyroptosis. Human macrophages mount a multifaceted inflammasome response to <italic>Salmonella</italic> infection that ultimately restricts intracellular bacterial replication. However, how inflammasomes restrict <italic>Salmonella</italic> replication remains unknown. We find that caspase-1 is essential for mediating inflammasome responses to <italic>Salmonella</italic> and subsequent restriction of bacterial replication within human macrophages, with caspase-4 contributing as well. We also demonstrate that the downstream pore-forming protein gasdermin D (GSDMD) and ninjurin-1 (NINJ1), a mediator of terminal cell lysis, play a role in controlling <italic>Salmonella</italic> replication in human macrophages. Notably, in the absence of inflammasome responses, we observed hyperreplication of <italic>Salmonella</italic> within the cytosol of infected cells, and we also observed increased bacterial replication within vacuoles, suggesting that inflammasomes control <italic>Salmonella</italic> replication primarily within the cytosol and also within vacuoles. These findings reveal that inflammatory caspases and pyroptotic factors mediate inflammasome responses that restrict the subcellular localization of intracellular <italic>Salmonella</italic> replication within human macrophages.</p>
</abstract>

</article-meta>
<notes>
<notes notes-type="competing-interest-statement">
<title>Competing Interest Statement</title><p>The authors have declared no competing interest.</p></notes>
</notes>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Intracellular bacterial pathogens create and maintain replicative niches within host cells. To survive inside the host, these pathogens must remodel the host cellular landscape and overcome immune defenses. <italic>Salmonella enterica</italic> serovar Typhimurium (<italic>Salmonella</italic>) is a facultative intracellular pathogen and a major cause of food-borne illness worldwide (<xref ref-type="bibr" rid="c82">Majowicz et al., 2010</xref>). Following ingestion, <italic>Salmonella</italic> colonizes the intestinal tract, where it can invade, replicate, and survive in host cells, including macrophages (<xref ref-type="bibr" rid="c21">Crowley et al., 2016</xref>; R. L. <xref ref-type="bibr" rid="c117">Santos &amp; Bäumler, 2004</xref>). <italic>Salmonella</italic> employs type III secretion systems (T3SSs) that act as molecular syringes to inject virulence factors, or effectors, into the host cell cytosol (<xref ref-type="bibr" rid="c3">Agbor &amp; McCormick, 2011</xref>; <xref ref-type="bibr" rid="c21">Crowley et al., 2016</xref>). Specifically, <italic>Salmonella</italic> relies on two distinct T3SSs encoded on <italic>Salmonella</italic> Pathogenicity Islands 1 and 2 (SPI-1 and SPI-2) to invade and replicate within host cells, respectively (<xref ref-type="bibr" rid="c95">Mills et al., 1995</xref>; <xref ref-type="bibr" rid="c120">Shea et al., 1996</xref>; <xref ref-type="bibr" rid="c47">Hensel et al., 1998</xref>; <xref ref-type="bibr" rid="c36">Galan &amp; Zhou, 2000</xref>; <xref ref-type="bibr" rid="c33">Galán, 1999</xref>; <xref ref-type="bibr" rid="c34">Galán &amp; Collmer, 1999</xref>; <xref ref-type="bibr" rid="c35">Galan &amp; Curtiss, 1989</xref>; <xref ref-type="bibr" rid="c100">Ochman et al., 1996</xref>; <xref ref-type="bibr" rid="c19">Cirillo et al., 1998</xref>). The SPI-2 T3SS translocates effectors to facilitate biogenesis and maintenance of the <italic>Salmonella</italic>-containing vacuole (SCV), wherein <italic>Salmonella</italic> resides and replicates (<xref ref-type="bibr" rid="c19">Cirillo et al., 1998</xref>; <xref ref-type="bibr" rid="c128">Takeuchi, 1967</xref>; <xref ref-type="bibr" rid="c129">Takeuchi &amp; Sprinz, 1967</xref>; <xref ref-type="bibr" rid="c60">Kihlström &amp; Latkovic, 1978</xref>; <xref ref-type="bibr" rid="c38">Garcia-del Portillo et al., 1993</xref>; <xref ref-type="bibr" rid="c37">Garcia-del Portillo &amp; Finlay, 1995</xref>; <xref ref-type="bibr" rid="c124">Steele-Mortimer et al., 1999</xref>; <xref ref-type="bibr" rid="c42">Hansen-Wester et al., 2002</xref>; <xref ref-type="bibr" rid="c123">Steele-Mortimer, 2008</xref>; <xref ref-type="bibr" rid="c53">Jennings et al., 2017</xref>; <xref ref-type="bibr" rid="c14">Brumell, Goosney, et al., 2002</xref>; <xref ref-type="bibr" rid="c15">Brumell, Tang, et al., 2002</xref>; <xref ref-type="bibr" rid="c6">Beuzón et al., 2000</xref>; <xref ref-type="bibr" rid="c47">Hensel et al., 1998</xref>). In epithelial cells, <italic>Salmonella</italic> escapes its vacuolar niche and hyperreplicates in the host cell cytosol (<xref ref-type="bibr" rid="c64">Knodler, Crowley, et al., 2014</xref>; <xref ref-type="bibr" rid="c66">Knodler et al., 2010</xref>; <xref ref-type="bibr" rid="c64">Knodler, Nair, et al., 2014</xref>; <xref ref-type="bibr" rid="c83">Malik-Kale et al., 2012</xref>). While T3SSs are essential for <italic>Salmonella</italic> to infect host cells, they also inject flagellin (<xref ref-type="bibr" rid="c126">Sun et al., 2007</xref>) and structural components of the T3SS into the host cell cytosol, which conversely leads to cytosolic immune detection of <italic>Salmonella</italic>.</p>
<p>The mammalian innate immune system detects violations of cytosolic sanctity, such as the presence of intracellular bacterial pathogens, through cytosolic pattern recognition receptors (PRRs) (<xref ref-type="bibr" rid="c52">Janeway, 1989</xref>; <xref ref-type="bibr" rid="c90">Medzhitov &amp; Janeway, 2002</xref>). A subset of these PRRs includes the nucleotide-binding domain, leucine-rich repeat (NLR) family proteins. NLRs respond to their cognate stimuli by oligomerizing and inducing the assembly of multiprotein complexes termed inflammasomes, which activate inflammatory caspases (<xref ref-type="bibr" rid="c11">Broz &amp; Dixit, 2016</xref>; <xref ref-type="bibr" rid="c74">Lamkanfi &amp; Dixit, 2009</xref>, <xref ref-type="bibr" rid="c75">2014</xref>; <xref ref-type="bibr" rid="c88">Martinon et al., 2002</xref>). Canonical inflammasomes recruit and activate caspase-1, which cleaves and activates pro-inflammatory interleukin-1 (IL-1) family cytokines and the pore-forming protein gasdermin D (GSDMD) (<xref ref-type="bibr" rid="c71">Kuida et al., 1995</xref>; <xref ref-type="bibr" rid="c79">Li et al., 1995</xref>; <xref ref-type="bibr" rid="c2">Agard et al., 2010</xref>; <xref ref-type="bibr" rid="c130">Thornberry et al., 1992</xref>; <xref ref-type="bibr" rid="c121">Shi et al., 2015</xref>; <xref ref-type="bibr" rid="c57">Kayagaki et al., 2015</xref>). Alternatively, noncanonical inflammasomes are formed by caspase-11 in mice and two orthologs in humans, caspase-4 and caspase-5, in response to cytosolic lipopolysaccharide (LPS) (<xref ref-type="bibr" rid="c17">Casson et al., 2015</xref>; <xref ref-type="bibr" rid="c41">Hagar et al., 2013</xref>; <xref ref-type="bibr" rid="c58">Kayagaki et al., 2011</xref>, <xref ref-type="bibr" rid="c59">2013</xref>; <xref ref-type="bibr" rid="c73">Lagrange et al., 2018</xref>; <xref ref-type="bibr" rid="c118">Schmid-Burgk et al., 2015</xref>; <xref ref-type="bibr" rid="c122">Shi et al., 2014</xref>). These caspases directly process and activate GSDMD (<xref ref-type="bibr" rid="c2">Agard et al., 2010</xref>; <xref ref-type="bibr" rid="c57">Kayagaki et al., 2015</xref>; <xref ref-type="bibr" rid="c121">Shi et al., 2015</xref>). Liberated GSDMD N-terminal fragments oligomerize to create pores in the host plasma membrane, through which IL-1 family cytokines and other alarmins are released to promote a lytic form of inflammatory cell death termed pyroptosis (<xref ref-type="bibr" rid="c2">Agard et al., 2010</xref>; <xref ref-type="bibr" rid="c25">Ding et al., 2016</xref>; <xref ref-type="bibr" rid="c57">Kayagaki et al., 2015</xref>; <xref ref-type="bibr" rid="c121">Shi et al., 2015</xref>).</p>
<p><italic>Salmonella</italic> activates several inflammasomes in human macrophages. One such inflammasome is the NLR family, apoptosis inhibitory protein (NAIP)/NLR family, CARD domain-containing protein 4 (NLRC4) inflammasome (<xref ref-type="bibr" rid="c8">Bierschenk et al., 2019</xref>; <xref ref-type="bibr" rid="c39">Gram et al., 2021</xref>; <xref ref-type="bibr" rid="c98">Naseer, Egan, et al., 2022</xref>). NAIP detects the cytosolic presence of T3SS structural components and flagellin (<xref ref-type="bibr" rid="c40">Grandjean et al., 2017</xref>; <xref ref-type="bibr" rid="c67">Kofoed &amp; Vance, 2011</xref>; <xref ref-type="bibr" rid="c68">Kortmann et al., 2015</xref>; <xref ref-type="bibr" rid="c94">Miao, Mao, et al., 2010</xref>; <xref ref-type="bibr" rid="c96">Molofsky et al., 2006</xref>; <xref ref-type="bibr" rid="c107">Rauch et al., 2016</xref>; <xref ref-type="bibr" rid="c109">Rayamajhi et al., 2013</xref>; <xref ref-type="bibr" rid="c110">Ren et al., 2006</xref>; <xref ref-type="bibr" rid="c111">Reyes Ruiz et al., 2017</xref>; <xref ref-type="bibr" rid="c126">Sun et al., 2007</xref>; <xref ref-type="bibr" rid="c139">Yang et al., 2013</xref>; <xref ref-type="bibr" rid="c143">Zhao et al., 2011</xref>, <xref ref-type="bibr" rid="c142">2016</xref>). Upon ligand recognition, NAIP recruits NLRC4, which oligomerizes to form the active NAIP/NLRC4 inflammasome (<xref ref-type="bibr" rid="c24">Diebolder et al., 2015</xref>; Z. <xref ref-type="bibr" rid="c51">Hu et al., 2015</xref>; <xref ref-type="bibr" rid="c141">Zhang et al., 2015</xref>). <italic>Salmonella</italic> also activates the NLR pyrin domain-containing protein 3 (NLRP3) inflammasome and the noncanonical inflammasome in human macrophages (<xref ref-type="bibr" rid="c8">Bierschenk et al., 2019</xref>; <xref ref-type="bibr" rid="c17">Casson et al., 2015</xref>; <xref ref-type="bibr" rid="c39">Gram et al., 2021</xref>; <xref ref-type="bibr" rid="c98">Naseer, Egan, et al., 2022</xref>). NLRP3 responds to diverse stimuli, including ionic fluxes as a result of host plasma membrane damage (<xref ref-type="bibr" rid="c31">Franchi et al., 2007</xref>; <xref ref-type="bibr" rid="c49">Hornung et al., 2008</xref>; <xref ref-type="bibr" rid="c87">Mariathasan et al., 2006</xref>; <xref ref-type="bibr" rid="c97">Muñoz-Planillo et al., 2013</xref>; <xref ref-type="bibr" rid="c102">Perregaux &amp; Gabel, 1994</xref>), and can be secondarily activated by the noncanonical inflammasome (<xref ref-type="bibr" rid="c4">Baker et al., 2015</xref>; <xref ref-type="bibr" rid="c17">Casson et al., 2015</xref>; <xref ref-type="bibr" rid="c59">Kayagaki et al., 2013</xref>; <xref ref-type="bibr" rid="c103">Pilla et al., 2014</xref>; <xref ref-type="bibr" rid="c105">Rathinam et al., 2012</xref>; <xref ref-type="bibr" rid="c115">Rühl &amp; Broz, 2015</xref>; <xref ref-type="bibr" rid="c118">Schmid-Burgk et al., 2015</xref>; <xref ref-type="bibr" rid="c122">Shi et al., 2014</xref>).</p>
<p>Inflammasome activation is critical for host defense against <italic>Salmonella</italic>. In mice, the NAIP/NLRC4 inflammasome is required to control <italic>Salmonella</italic> infection (<xref ref-type="bibr" rid="c16">Carvalho et al., 2012</xref>; <xref ref-type="bibr" rid="c30">Franchi et al., 2012</xref>; <xref ref-type="bibr" rid="c43">Hausmann et al., 2020</xref>; <xref ref-type="bibr" rid="c92">Miao et al., 2006</xref>; <xref ref-type="bibr" rid="c94">Miao, Mao, et al., 2010</xref>; <xref ref-type="bibr" rid="c107">Rauch et al., 2016</xref>, <xref ref-type="bibr" rid="c106">2017</xref>; <xref ref-type="bibr" rid="c119">Sellin et al., 2014</xref>; <xref ref-type="bibr" rid="c142">Zhao et al., 2016</xref>). In murine intestinal epithelial cells (IECs), NAIP/NLRC4 inflammasome activation triggers pyroptosis and expulsion of infected cells, and is both necessary and sufficient in IECs to restrict <italic>Salmonella</italic> replication and prevent bacterial dissemination to distal organ sites (<xref ref-type="bibr" rid="c43">Hausmann et al., 2020</xref>; <xref ref-type="bibr" rid="c106">Rauch et al., 2017</xref>; <xref ref-type="bibr" rid="c119">Sellin et al., 2014</xref>). Unlike murine IECs, human epithelial cells do not rely on NAIP/NLRC4 or caspase-1, but instead rely on caspase-4 to control <italic>Salmonella</italic> replication, in part through pyroptosis and cell extrusion (<xref ref-type="bibr" rid="c48">Holly et al., 2020</xref>; <xref ref-type="bibr" rid="c64">Knodler, Crowley, et al., 2014</xref>; <xref ref-type="bibr" rid="c66">Knodler et al., 2010</xref>; <xref ref-type="bibr" rid="c99">Naseer, Zhang, et al., 2022</xref>). Moreover, in murine macrophages, inflammasome activation controls the replication of a mutant strain of <italic>Salmonella</italic> that aberrantly invades the cytosol, but only slightly limits replication of wild-type (WT) <italic>Salmonella</italic> (<xref ref-type="bibr" rid="c131">Thurston et al., 2016</xref>). In contrast, we found that human macrophages rely on NAIP/NLRC4- and NLRP3-dependent inflammasome responses to control intracellular WT <italic>Salmonella</italic> replication (<xref ref-type="bibr" rid="c98">Naseer, Egan, et al., 2022</xref>). However, how inflammasome signaling restricts <italic>Salmonella</italic> replication in human macrophages remains unknown.</p>
<p>In this study, we show that caspase-1 is required for inflammasome responses and the restriction of intracellular <italic>Salmonella</italic> replication early during infection in human macrophages, and that caspase-4 contributes to the restriction of <italic>Salmonella</italic> later during infection. We find that the cell lysis mediators GSDMD and ninjurin-1 (NINJ1) contribute to bacterial restriction. Importantly, we observed that while human macrophages unable to undergo inflammasome responses showed slightly elevated bacterial replication within SCVs, they became permissive to hyperreplication of <italic>Salmonella</italic> within the cytosolic compartment. Thus, inflammasome activation appears to preferentially restrict cytosolic <italic>Salmonella</italic> replication. Our results offer insight into how inflammasomes control <italic>Salmonella</italic> in human macrophages and restrict the distinct intracellular spatial niches that <italic>Salmonella</italic> occupy in these cells.</p>
</sec>
<sec id="s2">
<title>Results</title>
<sec id="s2a">
<title>Caspase-1 promotes the control of <italic>Salmonella</italic> replication within human macrophages</title>
<p>Human macrophages undergo NAIP/NLRC4- and NLRP3-dependent inflammasome activation during <italic>Salmonella</italic> infection (<xref ref-type="bibr" rid="c8">Bierschenk et al., 2019</xref>; <xref ref-type="bibr" rid="c39">Gram et al., 2021</xref>; <xref ref-type="bibr" rid="c98">Naseer, Egan, et al., 2022</xref>), which restricts intracellular <italic>Salmonella</italic> replication (<xref ref-type="bibr" rid="c98">Naseer, Egan, et al., 2022</xref>). Nonetheless, how inflammasome activation controls <italic>Salmonella</italic> replication in human macrophages remains unclear. Inflammasomes recruit and activate caspase-1 in both murine and human cells (<xref ref-type="bibr" rid="c29">Franchi et al., 2006</xref>; <xref ref-type="bibr" rid="c85">Man, Hopkins, et al., 2014</xref>; <xref ref-type="bibr" rid="c86">Mariathasan et al., 2004</xref>; <xref ref-type="bibr" rid="c92">Miao et al., 2006</xref>; <xref ref-type="bibr" rid="c112">Ross et al., 2022</xref>; <xref ref-type="bibr" rid="c140">Zamboni et al., 2006</xref>), and caspase-1 promotes the control of <italic>Salmonella</italic> both <italic>in vivo</italic> and <italic>in vitro</italic> (<xref ref-type="bibr" rid="c12">Broz et al., 2010</xref>, <xref ref-type="bibr" rid="c13">2012</xref>; <xref ref-type="bibr" rid="c20">Crowley et al., 2020</xref>; <xref ref-type="bibr" rid="c43">Hausmann et al., 2020</xref>; <xref ref-type="bibr" rid="c48">Holly et al., 2020</xref>; <xref ref-type="bibr" rid="c76">Lara-Tejero et al., 2006</xref>; <xref ref-type="bibr" rid="c93">Miao, Leaf, et al., 2010</xref>; <xref ref-type="bibr" rid="c106">Rauch et al., 2017</xref>; <xref ref-type="bibr" rid="c108">Raupach et al., 2006</xref>; <xref ref-type="bibr" rid="c119">Sellin et al., 2014</xref>; <xref ref-type="bibr" rid="c131">Thurston et al., 2016</xref>). Thus, we sought to test whether caspase-1 restricts <italic>Salmonella</italic> replication in human macrophages.</p>
<p>To first interrogate the impact of caspase activity on <italic>Salmonella</italic> replication in human macrophages, we pretreated macrophages derived from the human monocytic cell line, THP-1, with Ac-YVAD-cmk (YVAD), a chemical inhibitor of caspase-1 activity, or Z-VAD-FMK (ZVAD), a pan-caspase inhibitor. Upon infection with wild-type (WT) <italic>Salmonella</italic>, WT THP-1 cells pretreated with either YVAD or ZVAD had significantly reduced levels of IL-1β secretion and cell death compared to infected WT cells pretreated with DMSO, the vehicle control (<xref rid="figs1-1" ref-type="fig">Figure 1 – figure supplement 1A-B</xref>). Since pretreatment with YVAD largely phenocopies ZVAD, these data suggest that caspase-1 is the primary caspase that responds to <italic>Salmonella</italic> infection in THP-1 cells. We next assessed intracellular <italic>Salmonella</italic> burdens by determining bacterial colony forming units (CFUs). The increase in bacterial CFUs was significantly higher in WT cells pretreated either YVAD or ZVAD compared to cells pretreated with DMSO (<xref rid="figs1-1" ref-type="fig">Figure 1 – figure supplement 1C</xref>). Microscopic analysis revealed that WT cells treated with either YVAD or ZVAD prior to infection harbored significantly higher intracellular <italic>Salmonella</italic> burdens compared to cells pretreated with DMSO (<xref rid="figs1-1" ref-type="fig">Figure 1 – figure supplement 1D</xref>). Overall, these results suggest that caspase activity, primarily caspase-1 activity, controls <italic>Salmonella</italic> burdens in human macrophages.</p>
<p>Next, to genetically test the requirement of caspase-1, we used two independent <italic>CASP1</italic><sup>-/-</sup> THP-1 single cell clones generated through CRISPR/Cas9-mediated deletion (<xref ref-type="bibr" rid="c101">Okondo et al., 2017</xref>). In agreement with previous reports (<xref ref-type="bibr" rid="c8">Bierschenk et al., 2019</xref>; <xref ref-type="bibr" rid="c39">Gram et al., 2021</xref>; <xref ref-type="bibr" rid="c98">Naseer, Egan, et al., 2022</xref>), WT THP-1 cells infected with WT <italic>Salmonella</italic> exhibited high levels of IL-1β, IL-18, and IL-1α release as well as cell death at 6 hpi (<xref rid="fig1" ref-type="fig">Figure 1A-B</xref>; <xref rid="figs1-2" ref-type="fig">Figure 1 – figure supplement 2A-B</xref>). In contrast, <italic>CASP1</italic><sup>-/-</sup> THP-1 cells released negligible levels of inflammasome-dependent cytokines and did not undergo substantial cell death upon infection (<xref rid="fig1" ref-type="fig">Figure 1A-B</xref>; <xref rid="figs1-2" ref-type="fig">Figure 1 – figure supplement 2A-B</xref>). Infected WT and <italic>CASP1</italic><sup>-/-</sup> THP-1 cells released similar levels of the inflammasome-independent cytokine TNF-α (<xref rid="figs1-2" ref-type="fig">Figure 1 – figure supplement 2C</xref>). These results indicate that caspase-1 is required for inflammasome responses to <italic>Salmonella</italic> infection in human macrophages.</p>
<fig id="fig1" position="float" orientation="portrait" fig-type="figure">
<label>Figure 1.</label>
<caption><title>Caspase-1 promotes the control of <italic>Salmonella</italic> replication within human macrophages.</title><p>WT and two independent clones of <italic>CASP1</italic><sup>-/-</sup> THP-1 monocyte-derived macrophages were primed with 100 ng/mL Pam3CSK4 for 16 hours. Cells were then infected with PBS (Mock), WT <italic>S</italic>. Typhimurium (A, B, C), or WT <italic>S.</italic> Typhimurium constitutively expressing GFP (D,E) at an MOI = 20. (A) Release of IL-1β into the supernatant was measured by ELISA at 6 hpi. (B) Cell death (percentage cytotoxicity) was measured by lactate dehydrogenase release assay and normalized to mock-infected cells at 6 hpi. (C) Cells were lysed at 1 hpi and 6 hpi, and bacteria were subsequently plated to calculate CFU. Fold-change in CFU/well was calculated. (D, E) Cells were fixed at 6 hpi and stained for DAPI to label DNA (blue). (D) The number of bacteria per cell at 6 hpi was scored by fluorescence microscopy. Each small dot represents one infected cell. 150 infected cells were scored for each genotype. (E) Representative images are shown. Scale bar represents 10 µm. Bars represent the mean for each genotype, and error bars represent the standard deviation of triplicate wells from one experiment (A, B, C, D). ***p &lt; 0.001, ****p &lt; 0.0001 by Dunnett’s multiple comparisons test (A, B, C, D). Data shown are representative of at least three independent experiments.</p></caption>
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</fig>
<p>We next tested whether caspase-1 is required to restrict <italic>Salmonella</italic> replication in human macrophages. At 1 hour post-infection (hpi), we did not observe any significant differences in bacterial uptake between WT and <italic>CASP1</italic><sup>-/-</sup> THP-1 cells (<xref rid="figs1-2" ref-type="fig">Figure 1 – figure supplement 2D</xref>). However, at 6 hpi, <italic>CASP1</italic><sup>-/-</sup> cells harbored significantly higher bacterial burdens and a significant fold-increase in bacterial CFUs compared to WT cells (<xref rid="fig1" ref-type="fig">Figure 1C</xref>; <xref rid="figs1-2" ref-type="fig">Figure 1 – figure supplement 2E</xref>). To assess intracellular bacterial burdens on a single-cell level, we quantified the amount of WT <italic>Salmonella</italic> per cell by microscopy. WT cells contained relatively low numbers of <italic>Salmonella</italic> on average (∼5 bacteria per cell), while <italic>CASP1</italic><sup>-/-</sup> cells harbored significantly higher numbers of <italic>Salmonella</italic> on average (∼30 bacteria per cell) at 6 hpi (<xref rid="fig1" ref-type="fig">Figure 1D-E</xref>). Overall, these data indicate that caspase-1 limits intracellular <italic>Salmonella</italic> replication in human macrophages.</p>
</sec>
<sec id="s2b">
<title>Caspase-4 contributes to the control of <italic>Salmonella</italic> replication within human macrophages later during infection</title>
<p>Caspase-11 is another member of the inflammatory caspase family, and plays a role in host defense against <italic>Salmonella</italic> in mice (<xref ref-type="bibr" rid="c1">Aachoui et al., 2013</xref>; <xref ref-type="bibr" rid="c20">Crowley et al., 2020</xref>; <xref ref-type="bibr" rid="c64">Knodler, Crowley, et al., 2014</xref>; <xref ref-type="bibr" rid="c119">Sellin et al., 2014</xref>). Humans harbor two orthologs of murine caspase-11: caspase-4 and caspase-5 (<xref ref-type="bibr" rid="c122">Shi et al., 2014</xref>). Caspases-11/4/5 recognize cytosolic LPS and form the noncanonical inflammasome to mediate downstream inflammatory responses (<xref ref-type="bibr" rid="c17">Casson et al., 2015</xref>; <xref ref-type="bibr" rid="c41">Hagar et al., 2013</xref>; <xref ref-type="bibr" rid="c58">Kayagaki et al., 2011</xref>, <xref ref-type="bibr" rid="c59">2013</xref>; <xref ref-type="bibr" rid="c73">Lagrange et al., 2018</xref>; <xref ref-type="bibr" rid="c118">Schmid-Burgk et al., 2015</xref>; <xref ref-type="bibr" rid="c122">Shi et al., 2014</xref>). Caspase-4 contributes to inflammasome responses during <italic>Salmonella</italic> infection of THP-1 macrophages and primary human macrophages (<xref ref-type="bibr" rid="c17">Casson et al., 2015</xref>; <xref ref-type="bibr" rid="c98">Naseer, Egan, et al., 2022</xref>), and caspases-4/5 are required for inflammasome responses to <italic>Salmonella</italic> in THP-1 monocytes (<xref ref-type="bibr" rid="c4">Baker et al., 2015</xref>). In human intestinal epithelial cells (IECs), caspase-4 drives inflammasome responses during <italic>Salmonella</italic> infection and limits intracellular bacterial replication (<xref ref-type="bibr" rid="c48">Holly et al., 2020</xref>; <xref ref-type="bibr" rid="c64">Knodler, Crowley, et al., 2014</xref>; <xref ref-type="bibr" rid="c99">Naseer, Zhang, et al., 2022</xref>). However, whether caspase-4 contributes to restriction of intracellular <italic>Salmonella</italic> replication within human macrophages is unclear.</p>
<p>To genetically test the contribution of caspase-4 during <italic>Salmonella</italic> infection in THP-1 macrophages, we used CRISPR/Cas9-mediated deletion to disrupt the <italic>CASP4</italic> gene. We selected and sequence-validated two independent <italic>CASP4</italic><sup>-/-</sup> THP-1 single cell clones (<xref rid="figs2-1" ref-type="fig">Figure 2 – figure supplement 1</xref>). We observed a slight decrease in secreted IL-1β levels in <italic>CASP4</italic><sup>-/-</sup> THP-1 macrophages infected with WT <italic>Salmonella</italic> compared to infected WT THP-1 macrophages at 6 hpi (<xref rid="figs2-2" ref-type="fig">Figure 2 – figure supplement 2A</xref>). We also observed a slight decrease in cell death at 6 hpi in infected <italic>CASP4</italic><sup>-/-</sup> clone #2 compared to infected WT cells, whereas cytotoxicity levels were unaffected in infected <italic>CASP4</italic><sup>-/-</sup> clone #6 (<xref rid="figs2-2" ref-type="fig">Figure 2 – figure supplement 2B</xref>). However, at 24 hpi, we observed a significant decrease in IL-1 release and cell death in both <italic>CASP4</italic><sup>-/-</sup> clones infected with WT <italic>Salmonella</italic> compared to infected WT cells (<xref rid="fig2" ref-type="fig">Figure 2A-B</xref>; <xref rid="figs2-3" ref-type="fig">Figure 2 – figure supplement 3A-B</xref>). WT and <italic>CASP4</italic><sup>-/-</sup> cells also released similar levels of the inflammasome-independent cytokine TNF-α upon infection with WT <italic>Salmonella</italic> at 24 hpi (<xref rid="figs2-3" ref-type="fig">Figure 2 – figure supplement 3C</xref>). Overall, these data indicate that caspase-4 contributes to inflammasome responses in THP-1 macrophages later during <italic>Salmonella</italic> infection.</p>
<fig id="fig2" position="float" orientation="portrait" fig-type="figure">
<label>Figure 2.</label>
<caption><title>Caspase-4 contributes to the control of <italic>Salmonella</italic> replication within human macrophages later during infection.</title>
<p>WT and two independent clones of <italic>CASP4</italic><sup>-/-</sup> THP-1 monocyte-derived macrophages were primed with 100 ng/mL Pam3CSK4 for 16 hours. Cells were then infected with PBS (Mock), WT <italic>S</italic>. Typhimurium (A, B, C), or WT <italic>S.</italic> Typhimurium constitutively expressing GFP (D, E) at an MOI = 20. (A) Release of IL-1β into the supernatant was measured by ELISA at 24 hpi. (B) Cell death (percentage cytotoxicity) was measured by lactate dehydrogenase release assay and normalized to mock-infected cells at 24 hpi. (C) Cells were lysed at 1 hpi and 24 hpi, and bacteria were subsequently plated to calculate CFU. Fold-change in CFU/well was calculated. (D, E) Cells were fixed at 24 hpi and stained for DAPI to label DNA (blue). (D) The number of bacteria per cell at 24 hpi was scored by fluorescence microscopy. Each small dot represents one infected cell. 150 infected cells were scored for each genotype. (E) Representative images are shown. Scale bar represents 10 µm. Bars represent the mean for each genotype, and error bars represent the standard deviation of triplicate wells from one experiment (A, B, C, D). ns – not significant, *p &lt; 0.05 by Dunnett’s multiple comparisons test (A, B, C, D). Data shown are representative of at least three independent experiments.</p></caption>
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</fig>
<p>Since caspase-4 restricts <italic>Salmonella</italic> replication in human epithelial cells (<xref ref-type="bibr" rid="c48">Holly et al., 2020</xref>; <xref ref-type="bibr" rid="c64">Knodler, Crowley, et al., 2014</xref>; <xref ref-type="bibr" rid="c99">Naseer, Zhang, et al., 2022</xref>), we then asked whether caspase-4 contributes to the control of <italic>Salmonella</italic> replication in human macrophages. Upon examination of the fold-change in bacterial CFUs at 6 hpi, we did not observe any significant differences between WT and <italic>CASP4</italic><sup>-/-</sup> THP-1 cells (<xref rid="figs2-2" ref-type="fig">Figure 2 – figure supplement 2C</xref>). However, at 24 hpi, <italic>CASP4</italic><sup>-/-</sup> cells harbored higher bacterial burdens and a significant fold-increase in bacterial CFUs compared to WT cells (<xref rid="fig2" ref-type="fig">Figure 2C</xref>; <xref rid="figs2-3" ref-type="fig">Figure 2 – figure supplement 3D</xref>). To confirm these findings, we enumerated the amount of WT <italic>Salmonella</italic> per cell by microscopy. At 6 hpi, WT and <italic>CASP4</italic><sup>-/-</sup> THP-1 cells contained comparable numbers of <italic>Salmonella</italic> per cell (<xref rid="figs2-2" ref-type="fig">Figure 2 – figure supplement 2D-E</xref>). In contrast, at 24 hpi, <italic>CASP4</italic><sup>-/-</sup> cells harbored significantly higher burdens of <italic>Salmonella</italic> per cell on average (∼20 bacteria per cell) compared to WT cells (∼10 bacteria per cell) (<xref rid="fig2" ref-type="fig">Figure 2D-E</xref>). Altogether, these results suggest that caspase-4 plays a larger role in controlling <italic>Salmonella</italic> burdens later during infection.</p>
</sec>
<sec id="s2c">
<title>GSDMD promotes the control of <italic>Salmonella</italic> replication within human macrophages</title>
<p>Inflammasome activation triggers a lytic form of cell death known as pyroptosis (<xref ref-type="bibr" rid="c75">Lamkanfi &amp; Dixit, 2014</xref>). Death of the infected host cell eliminates <italic>Salmonella</italic>’s intracellular replicative niche and thus, may contribute to restricting intracellular bacterial replication. Upon its cleavage by inflammatory caspases, GSDMD forms pores in the host plasma membrane, resulting in pyroptosis (<xref ref-type="bibr" rid="c2">Agard et al., 2010</xref>; <xref ref-type="bibr" rid="c25">Ding et al., 2016</xref>; <xref ref-type="bibr" rid="c57">Kayagaki et al., 2015</xref>; <xref ref-type="bibr" rid="c121">Shi et al., 2015</xref>). Whether GSDMD contributes to the control of <italic>Salmonella</italic> replication in human macrophages is unknown.</p>
<p>First, we asked whether GSDMD pore formation plays a role in controlling <italic>Salmonella</italic> replication in human macrophages. To do this, we pretreated THP-1 macrophages and primary human monocyte-derived macrophages (hMDMs) with the chemical inhibitor disulfiram. Disulfiram prevents cleaved GSDMD from inserting into the host plasma membrane, thereby limiting GSDMD-mediated pore formation (J. J. <xref ref-type="bibr" rid="c50">Hu et al., 2020</xref>). Disulfiram treatment led to the loss of IL-1β release and cytotoxicity in macrophages infected with WT <italic>Salmonella</italic>, compared to treatment with the vehicle control, DMSO (<xref rid="figs3-1" ref-type="fig">Figure 3 – figure supplement 1A-B, D-E</xref>). Next, we examined the effect of GSDMD-mediated pore formation on intracellular <italic>Salmonella</italic> burdens. The fold-increase in bacterial CFUs at 6 hpi was significantly higher in cells treated with disulfiram compared to cells treated with DMSO (<xref rid="figs3-1" ref-type="fig">Figure 3 – figure supplement 1C, F</xref>). Collectively, these results suggest that GSDMD-mediated pore formation promotes the restriction of intracellular <italic>Salmonella</italic> replication.</p>
<p>Consistent with our findings with disulfiram, we observed a significant decrease in IL-1 cytokine release in <italic>GSDMD</italic><sup>-/-</sup> THP-1 macrophages (<xref ref-type="bibr" rid="c101">Okondo et al., 2017</xref>; <xref ref-type="bibr" rid="c127">Taabazuing et al., 2017</xref>) infected with WT <italic>Salmonella</italic> compared to infected WT THP-1 macrophages (<xref rid="fig3" ref-type="fig">Figure 3A</xref>; <xref rid="figs3-2" ref-type="fig">Figure 3 – figure supplement 2A-B</xref>). These results suggest that human macrophages undergo GSDMD-dependent IL-1 release during infection. Interestingly, loss of GSDMD did not completely abrogate the release of IL-1, suggesting that there is also GSDMD-independent IL-1 release (<xref rid="fig3" ref-type="fig">Figure 3A</xref>; <xref rid="figs3-2" ref-type="fig">Figure 3 – figure supplement 2A-B</xref>). Infected WT and <italic>GSDMD</italic><sup>-/-</sup> THP-1 cells secreted similar levels of the inflammasome-independent cytokine TNF-α (<xref rid="figs3-2" ref-type="fig">Figure 3 – figure supplement 2C</xref>). Importantly, infected <italic>GSDMD</italic><sup>-/-</sup> cells failed to undergo substantial cell death, in contrast to infected WT cells, suggesting that GSDMD facilitates cell death during <italic>Salmonella</italic> infection (<xref rid="fig3" ref-type="fig">Figure 3B</xref>). Overall, these results indicate that GSDMD plays an important role in mediating inflammasome responses during <italic>Salmonella</italic> infection of human macrophages.</p>
<fig id="fig3" position="float" orientation="portrait" fig-type="figure">
<label>Figure 3.</label>
<caption><title>GSDMD promotes the control of <italic>Salmonella</italic> replication within human macrophages.</title>
<p>WT and <italic>GSDMD</italic><sup>-/-</sup> THP-1 monocyte-derived macrophages were primed with 100 ng/mL Pam3CSK4 for 16 hours. Cells were then infected with PBS (Mock), WT <italic>S</italic>. Typhimurium (A, B, C), or WT <italic>S.</italic> Typhimurium constitutively expressing GFP (D,E) at an MOI = 20. (A) Release of IL-1β into the supernatant was measured by ELISA at 6 hpi. (B) Cell death (percentage cytotoxicity) was measured by lactate dehydrogenase release assay and normalized to mock-infected cells at 6 hpi. (C) Cells were lysed at 1 hpi and 6 hpi, and bacteria were subsequently plated to calculate CFU. Fold-change in CFU/well was calculated. (D, E) Cells were fixed at 6 hpi and stained for DAPI to label DNA (blue). (D) The number of bacteria per cell at 6 hpi was scored by fluorescence microscopy. Each small dot represents one infected cell. 150 infected cells were scored for each genotype. (E) Representative images are shown. Scale bar represents 10 µm. Bars represent the mean for each genotype, and error bars represent the standard deviation of triplicate wells from one experiment (A, B, C, D). **p&lt; 0.01, ***p &lt; 0.001, ****p &lt; 0.0001 by Šídák’s multiple comparisons test (A) or by unpaired t-test (B, C, D). Data shown are representative of at least three independent experiments.</p></caption>
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</fig>
<p>We next examined whether GSDMD controls intracellular <italic>Salmonella</italic> replication in human macrophages. While we did not observe any differences in bacterial uptake between WT and <italic>GSDMD</italic><sup>-/-</sup> cells at 1 hpi (<xref rid="figs3-2" ref-type="fig">Figure 3 – figure supplement 2D</xref>), we did observe significantly higher bacterial CFUs in <italic>GSDMD</italic><sup>-/-</sup> cells compared to WT cells at 6 hpi (<xref rid="figs3-2" ref-type="fig">Figure 3 – figure supplement 2E</xref>). Moreover, the increase in bacterial CFUs at 6 hpi was significantly higher in <italic>GSDMD</italic><sup>-/-</sup> cells than in WT cells (<xref rid="fig3" ref-type="fig">Figure 3C</xref>). Next, we used microscopy to further interrogate intracellular <italic>Salmonella</italic> burdens. As expected, WT cells contained low numbers of <italic>Salmonella</italic> per cell (∼5 bacteria per cell) (<xref rid="fig3" ref-type="fig">Figure 3D-E</xref>). However, <italic>GSDMD</italic><sup>-/-</sup> cells harbored significantly higher numbers of <italic>Salmonella</italic> per cell on average (∼20 bacteria per cell) at 6 hpi (<xref rid="fig3" ref-type="fig">Figure 3D-E</xref>), suggesting that GSDMD restricts intracellular <italic>Salmonella</italic> burdens. Altogether, these data indicate that GSDMD promotes the control of <italic>Salmonella</italic> replication in human macrophages.</p>
</sec>
<sec id="s2d">
<title>NINJ1 contributes to the control of <italic>Salmonella</italic> replication within human macrophages</title>
<p>Terminal cell lysis is regulated downstream of GSDMD cleavage and pore formation (<xref ref-type="bibr" rid="c9">Bjanes et al., 2021</xref>; <xref ref-type="bibr" rid="c55">Kayagaki et al., 2021</xref>). While GSDMD pores release a subset of molecules, including IL-1 family cytokines, the extensive release of cellular contents is mediated by plasma membrane rupture (<xref ref-type="bibr" rid="c25">Ding et al., 2016</xref>; <xref ref-type="bibr" rid="c114">Ruan et al., 2018</xref>). Recently, NINJ1 was identified as an executioner of terminal cell lysis (<xref ref-type="bibr" rid="c9">Bjanes et al., 2021</xref>; <xref ref-type="bibr" rid="c10">Borges et al., 2022</xref>; <xref ref-type="bibr" rid="c22">Degen et al., 2023</xref>; <xref ref-type="bibr" rid="c55">Kayagaki et al., 2021</xref>, <xref ref-type="bibr" rid="c56">2023</xref>). NINJ1 is a transmembrane protein that oligomerizes in the host plasma membrane to induce lytic rupture of the cell after the initiation of pyroptosis and other forms of regulated cell death (<xref ref-type="bibr" rid="c22">Degen et al., 2023</xref>; <xref ref-type="bibr" rid="c55">Kayagaki et al., 2021</xref>). Cells can be protected from plasma membrane rupture through treatment with the amino acid glycine (<xref ref-type="bibr" rid="c27">Fink &amp; Cookson, 2006</xref>; <xref ref-type="bibr" rid="c32">Frank et al., 2000</xref>; <xref ref-type="bibr" rid="c44">Heilig et al., 2018</xref>; <xref ref-type="bibr" rid="c135">Verhoef et al., 2005</xref>), which interferes with the clustering of NINJ1 (<xref ref-type="bibr" rid="c10">Borges et al., 2022</xref>). Thus, upon incubation with glycine, cells can still form GSDMD pores but cannot undergo terminal cell lysis (<xref ref-type="bibr" rid="c27">Fink &amp; Cookson, 2006</xref>; <xref ref-type="bibr" rid="c44">Heilig et al., 2018</xref>; <xref ref-type="bibr" rid="c133">Tsuchiya et al., 2021</xref>; <xref ref-type="bibr" rid="c135">Verhoef et al., 2005</xref>). Whether NINJ1-dependent cell lysis might contribute to control of <italic>Salmonella</italic> replication in human macrophages remains unknown.</p>
<p>First, to determine whether glycine exerts a cytoprotective effect on THP-1 macrophages, we pretreated WT and <italic>NAIP</italic><sup>-/-</sup> THP-1 cells with glycine prior to infection with WT <italic>Salmonella</italic> and assayed for downstream inflammasome responses. Notably, WT and <italic>NAIP</italic><sup>-/-</sup> cells pretreated with glycine exhibited significantly decreased cell death and a small defect in IL-1β release following infection compared to infected cells treated with the vehicle control (<xref rid="figs4-1" ref-type="fig">Figure 4 – figure supplement 1A-B</xref>). Release of the inflammasome-independent cytokine TNF-α was unaffected by glycine treatment (<xref rid="figs4-1" ref-type="fig">Figure 4 – figure supplement 1C</xref>). Altogether, these results indicate that glycine prevents cell lysis and limits IL-1 release in THP-1 macrophages upon <italic>Salmonella</italic> infection.</p>
<p>Given glycine’s cytoprotective effect on infected THP-1 macrophages, we next sought to determine whether glycine impacts intracellular <italic>Salmonella</italic> burdens in human macrophages. THP-1 macrophages pretreated with glycine retained significantly higher intracellular bacterial burdens at 6 hpi compared to cells given the vehicle control (<xref rid="figs4-1" ref-type="fig">Figure 4 – figure supplement 1D</xref>). We did not detect any significant differences in bacterial uptake (<xref rid="figs4-1" ref-type="fig">Figure 4 – figure supplement 1E</xref>). Moreover, WT and <italic>NAIP</italic><sup>-/-</sup> THP-1 cells pretreated with glycine exhibited a greater increase in <italic>Salmonella</italic> CFUs compared to cells treated with the vehicle control (<xref rid="figs4-1" ref-type="fig">Figure 4 – figure supplement 1F</xref>), suggesting that glycine treatment impedes intracellular control of <italic>Salmonella</italic>. Therefore, cytoprotection by glycine appears to interfere with the restriction of <italic>Salmonella</italic> burdens in human macrophages.</p>
<p>Next, to genetically test the role of NINJ1, we transfected WT THP-1 macrophages with small interfering RNA (siRNA) targeting <italic>NINJ1</italic> or control scrambled siRNA. WT cells treated with control siRNA exhibited robust IL-1β release and cytotoxicity upon infection with WT <italic>Salmonella</italic> (<xref rid="fig4" ref-type="fig">Figure 4A-B</xref>). However, knockdown of <italic>NINJ1</italic> resulted in a significant decrease, yet not complete abrogation, of cytotoxicity in infected cells (<xref rid="fig4" ref-type="fig">Figure 4B</xref>). Knockdown of <italic>NINJ1</italic> also led to defect in IL-1β secretion (<xref rid="fig4" ref-type="fig">Figure 4A</xref>). In these experiments, we observed efficient siRNA-mediated knockdown of <italic>NINJ1</italic> ranging from 77% to 85%. Collectively, these data suggest a critical role for NINJ1 in contributing to IL-1 release and cell death during <italic>Salmonella</italic> infection in human macrophages.</p>
<fig id="fig4" position="float" orientation="portrait" fig-type="figure">
<label>Figure 4.</label>
<caption><title>NINJ1 contributes to the control of <italic>Salmonella</italic> replication within human macrophages.</title>
<p>WT THP-1 monocyte-derived macrophages were treated with siRNA targeting a control scrambled siRNA or siRNA targeting <italic>NINJ1</italic> for 72 hours prior to infection. Cells were primed with 100 ng/mL Pam3CSK4 for 16 hours. Cells were then infected with PBS (Mock) or WT <italic>S</italic>. Typhimurium at an MOI = 20. (A) Release of IL-1β into the supernatant was measured by ELISA at 6 hpi. (B) Cell death (percentage cytotoxicity) was measured by lactate dehydrogenase release assay and normalized to mock-infected cells at 6 hpi. (C, D, E) Cells were lysed at 1 hpi and 6 hpi, and bacteria were subsequently plated to calculate CFU. (C) CFU/well at 1 hpi. (D) CFU/well at 6 hpi. (E) Fold-change in CFU/well was calculated. Bars represent the mean for each condition. Error bars represent the standard deviation of triplicate wells from one experiment. ns – not significant, *p&lt; 0.05, **p&lt; 0.01 by unpaired t-test. Data shown are representative of at least three independent experiments.</p></caption>
<graphic xlink:href="549348v1_fig4.tif" mimetype="image" mime-subtype="tiff"/>
</fig>
<p>We then enumerated bacterial CFUs to assess whether NINJ1 impacts intracellular <italic>Salmonella</italic> replication. At 1 hpi, we did not observe any differences in bacterial uptake between WT THP-1 cells treated with control siRNA or <italic>NINJ1</italic> siRNA (<xref rid="fig4" ref-type="fig">Figure 4C</xref>). However, at 6 hpi, we found that cells treated with <italic>NINJ1</italic> siRNA contained higher intracellular bacterial burdens than cells treated with control siRNA (<xref rid="fig4" ref-type="fig">Figure 4D</xref>). Furthermore, there was a greater increase in bacterial CFUs at 6 hpi in <italic>NINJ1</italic> siRNA-treated cells compared to control siRNA-treated cells (<xref rid="fig4" ref-type="fig">Figure 4E</xref>). Together, these findings suggest that NINJ1 contributes to intracellular bacterial control.</p>
</sec>
<sec id="s2e">
<title>Inflammasome activation primarily controls cytosolic <italic>Salmonella</italic> replication in human macrophages</title>
<p>In epithelial cells, WT <italic>Salmonella</italic> can replicate in both vacuolar and cytosolic compartments, specifically hyperreplicating in the cytosol (<xref ref-type="bibr" rid="c64">Knodler, Crowley, et al., 2014</xref>; <xref ref-type="bibr" rid="c66">Knodler et al., 2010</xref>; <xref ref-type="bibr" rid="c65">Knodler, Nair, et al., 2014</xref>; <xref ref-type="bibr" rid="c83">Malik-Kale et al., 2012</xref>). However, in murine macrophages, WT <italic>Salmonella</italic> appears to replicate exclusively in vacuoles (<xref ref-type="bibr" rid="c7">Beuzón et al., 2002</xref>; <xref ref-type="bibr" rid="c131">Thurston et al., 2016</xref>). <italic>Salmonella</italic> lacking the SPI-2 effector SifA (Δ<italic>sifA</italic>), which is required for SCV membrane stability, frequently enter the cytosol and cannot replicate efficiently in murine macrophages (<xref ref-type="bibr" rid="c6">Beuzón et al., 2000</xref>, <xref ref-type="bibr" rid="c7">2002</xref>; <xref ref-type="bibr" rid="c131">Thurston et al., 2016</xref>). Whether <italic>Salmonella</italic> replicates within vacuoles or the cytosol of human macrophages remains largely unknown. One study suggested that a small but significant proportion of <italic>Salmonella</italic> are exposed to the cytosol in THP-1 macrophages (<xref ref-type="bibr" rid="c28">Fisch et al., 2020</xref>). Our recently published data and current findings indicate that when human macrophages fail to undergo robust inflammasome responses, <italic>Salmonella</italic> hyperreplicates to large numbers within these cells (<xref ref-type="bibr" rid="c98">Naseer, Egan, et al., 2022</xref>). The hyperreplication that we observed in human macrophages was reminiscent of previous reports describing <italic>Salmonella</italic> hyperreplication within the cytosol of IECs (Knodler, Crowley, et al., 2014; <xref ref-type="bibr" rid="c66">Knodler et al., 2010</xref>; <xref ref-type="bibr" rid="c65">Knodler, Nair, et al., 2014</xref>; <xref ref-type="bibr" rid="c83">Malik-Kale et al., 2012</xref>). Thus, we hypothesized that inflammasome activation limits <italic>Salmonella</italic> replication in both SCVs and the host cell cytosol, and that in the absence of inflammasome responses, <italic>Salmonella</italic> hyperreplicates to large numbers within the host cell cytosol and also exhibits increased replication within SCVs.</p>
<p>First, to test whether inflammasome activation restricts the ability of <italic>Salmonella</italic> to replicate in vacuolar and cytosolic compartments of human macrophages, we used a chloroquine (CHQ) resistance assay. As a weak base, CHQ accumulates in endosomal compartments, including the SCV, without entering the cytosol of host cells (<xref ref-type="bibr" rid="c63">Klein, Powers, et al., 2017</xref>; <xref ref-type="bibr" rid="c65">Knodler, Nair, et al., 2014</xref>; <xref ref-type="bibr" rid="c125">Steinberg, 1994</xref>). Thus, vacuolar bacteria are CHQ-sensitive, while cytosolic bacteria are CHQ-resistant (<xref ref-type="bibr" rid="c65">Knodler, Nair, et al., 2014</xref>). We infected THP-1 macrophages with WT <italic>Salmonella</italic> and treated the infected cells with CHQ. Then, we determined the bacterial CFUs at 6 hpi, quantifying the numbers of vacuolar bacteria (CHQ-sensitive) and cytosolic bacteria (CHQ-resistant). We found that WT THP-1 cells contained mostly vacuolar <italic>Salmonella</italic> while also retaining some cytosolic <italic>Salmonella</italic> (<xref rid="fig5" ref-type="fig">Figure 5A</xref>), suggesting that a subset of <italic>Salmonella</italic> dwells in the cytosol of THP-1 macrophages, in agreement with a previous study (<xref ref-type="bibr" rid="c28">Fisch et al., 2020</xref>). In <italic>NAIP</italic><sup>-/-</sup> and <italic>CASP1</italic><sup>-/-</sup> THP-1 cells, we observed slightly higher burdens of vacuolar <italic>Salmonella</italic> compared to WT cells (<xref rid="fig5" ref-type="fig">Figure 5A</xref>). Strikingly, we also observed significantly larger numbers of cytosolic <italic>Salmonella</italic> in <italic>NAIP</italic><sup>-/-</sup> and <italic>CASP1</italic><sup>-/-</sup> cells compared to WT cells (<xref rid="fig5" ref-type="fig">Figure 5A</xref>). These data indicate that inflammasome signaling restricts <italic>Salmonella</italic> primarily within the host cell cytosol but also within SCVs in human macrophages.</p>
<fig id="fig5" position="float" orientation="portrait" fig-type="figure">
<label>Figure 5.</label>
<caption><title>Inflammasome activation primarily controls cytosolic <italic>Salmonella</italic> replication in human macrophages.</title>
<p>WT, <italic>NAIP</italic><sup>-/-</sup> (A), and <italic>CASP1</italic><sup>-/-</sup> (A, B) THP-1 monocyte-derived macrophages were primed with 100 ng/mL Pam3CSK4 for 16 hours. Cells were then infected with PBS (Mock) or WT <italic>S</italic>. Typhimurium (A) or Δ<italic>sipB S</italic>. Typhimurium (B) at an MOI = 20. At 5 hpi, cells were left untreated or treated with 500 µM CHQ for 1 hour. Then, at 6 hpi, cells were lysed, and bacteria were subsequently plated to calculate CFU. CFU/well of vacuolar (CHQ-sensitive) and cytosolic (CHQ-resistant) bacteria were calculated from the total bacteria. (C,D) WT, <italic>NAIP</italic><sup>-/-</sup>, and <italic>CASP1</italic><sup>-/-</sup> THP-1 monocyte-derived macrophages were primed with 100 ng/mL Pam3CSK4 for 16 hours. Cells were then infected with PBS (Mock) or WT <italic>S.</italic> Typhimurium constitutively expressing mCherry and harboring the GFP cytosolic reporter plasmid, pNF101, at an MOI = 20. Cells were fixed at 8 hpi and stained for DAPI to label DNA (blue). (C) The number of GFP-positive, mCherry-positive bacteria (cytosolic) per cell and the number of GFP-negative, mCherry-positive bacteria (vacuolar) per cell were scored by fluorescence microscopy. Each small dot represents one infected cell. 150 total infected cells were scored for each genotype. (D) Representative images from 8 hpi are shown. Scale bar represents 10 µm. White arrows indicate cytosolic bacteria (GFP-positive, mCherry-positive). Bars represent the mean for each genotype (A, B). Error bars represent the standard deviation of triplicate wells from one experiment (A, B). ns – not significant, *p&lt; 0.05, ****p &lt; 0.0001 by Dunnett’s multiple comparisons test (A) or by Tukey’s multiple comparisons test (B). Data shown are representative of at least three independent experiments (A, B, C).</p></caption>
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</fig>
<p>The SPI-1 T3SS can damage the SCV (<xref ref-type="bibr" rid="c113">Roy et al., 2004</xref>), and the SPI-1 T3SS and its effectors contribute to <italic>Salmonella</italic> replication in the cytosol of epithelial cells (<xref ref-type="bibr" rid="c18">Chong et al., 2019</xref>; <xref ref-type="bibr" rid="c62">Klein, Grenz, et al., 2017</xref>; <xref ref-type="bibr" rid="c65">Knodler, Nair, et al., 2014</xref>). So, we next assessed whether the SPI-1 T3SS was required for the cytosolic exposure of <italic>Salmonella</italic> in human macrophages. We infected WT and <italic>CASP1</italic><sup>-/-</sup> THP-1 macrophages with <italic>Salmonella</italic> lacking the SPI-1 T3SS translocon protein SipB (Δ<italic>sipB</italic>), thus preventing SPI-1 T3SS effector translocation into host cells. While we observed a significant increase in the amount of vacuolar and cytosolic Δ<italic>sipB Salmonella</italic> in <italic>CASP1</italic><sup>-/-</sup> cells compared to WT cells at 6 hpi, the numbers of cytosolic Δ<italic>sipB</italic> were significantly lower than vacuolar Δ<italic>sipB</italic> in both WT and <italic>CASP1</italic><sup>-/-</sup> cells (<xref rid="fig5" ref-type="fig">Figure 5B</xref>). We also observed lower cytosolic Δ<italic>sipB Salmonella</italic> burdens compared to WT <italic>Salmonella</italic> in both WT and <italic>CASP1</italic><sup>-/-</sup> THP-1 cells (<xref rid="fig5" ref-type="fig">Figure 5A-B</xref>). Therefore, these results suggest that there is a partial dependence on the SPI-1 T3SS for <italic>Salmonella</italic>’s cytosolic access in human macrophages.</p>
<p>Since CFU assays are population-based, we next used single-cell methods to interrogate the subcellular localization of WT <italic>Salmonella</italic> in human macrophages. We relied on a strain of WT <italic>Salmonella</italic> that constitutively expresses mCherry and maintains a reporter plasmid, pNF101, that expresses <italic>gfp-ova</italic> under the control of a promoter responsive to the host cytosolic metabolite glucose-6-phosphate (<xref ref-type="bibr" rid="c77">Lau et al., 2019</xref>). We scored the number of GFP-positive/mCherry-positive bacteria (cytosolic) and GFP-negative/mCherry-positive bacteria (vacuolar) in WT, <italic>NAIP</italic><sup>-/-</sup> and <italic>CASP1</italic><sup>-/-</sup> THP-1 macrophages at 8 hpi by microscopy. We observed low numbers of both vacuolar and cytosolic populations of <italic>Salmonella</italic> in WT THP-1 cells (<xref rid="fig5" ref-type="fig">Figure 5C-D</xref>). In contrast, <italic>NAIP</italic><sup>-/-</sup> and <italic>CASP1</italic><sup>-/-</sup> THP-1 cells maintained significantly larger numbers of vacuolar <italic>Salmonella</italic>, with a substantial increase in the numbers of cytosolic <italic>Salmonella</italic> (<xref rid="fig5" ref-type="fig">Figure 5C-D</xref>). Taken together, these results suggest that inflammasome responses primarily restrict <italic>Salmonella</italic> replication within the host cell cytosol and also control bacterial replication within SCVs in human macrophages.</p>
<p>We next asked whether inflammasome responses also restrict the replication of <italic>Salmonella</italic> within the cytosol and SCV in primary human macrophages. We pretreated hMDMs with either ZVAD, to inhibit inflammasome responses mediated by caspase activity, or the vehicle control DMSO, and then infected the cells with WT <italic>Salmonella</italic> constitutively expressing mCherry and harboring pNF101. We observed that hMDMs treated with ZVAD contained significantly more cytosolic <italic>Salmonella</italic> than hMDMs treated with DMSO (<xref rid="figs5-1" ref-type="fig">Figure 5 – figure supplement 1A-B</xref>). We observed no significant differences between the vacuolar burdens of <italic>Salmonella</italic> in hMDMs pretreated with ZVAD or DMSO (<xref rid="figs5-1" ref-type="fig">Figure 5 – figure supplement 1A-B</xref>). Thus, inflammasome responses appear to primarily control <italic>Salmonella</italic> replication within the cytosol of primary human macrophages.</p>
</sec>
<sec id="s2f">
<title>Inflammasome activation modulates the cytosolic exposure of <italic>Salmonella</italic> in human macrophages</title>
<p>Finally, to characterize the effect of inflammasomes on the subcellular niches of <italic>Salmonella</italic> in human macrophages at higher resolution, we used transmission electron microscopy (TEM). In WT THP-1 cells, TEM analysis revealed that the majority of bacteria resided in a membrane-bound compartment (vacuolar, white arrows) (<xref rid="fig6" ref-type="fig">Figure 6A</xref>; <xref rid="figs6-1" ref-type="fig">Figure 6 – figure supplement 1B</xref>). In <italic>CASP1</italic><sup>-/-</sup> THP-1 cells, we observed a more mixed population of vacuolar bacteria and bacteria that were exposed to the host cell cytosol to varying extents (<xref rid="fig6" ref-type="fig">Figure 6B</xref>; <xref rid="figs6-1" ref-type="fig">Figure 6 – figure supplement 1B</xref>). We observed <italic>Salmonella</italic> free-living in the cytosol without a vacuolar membrane (fully cytosolic, black asterisk) as well as <italic>Salmonella</italic> exposed to the cytosol within discontinuous vacuolar membranes (partially cytosolic, cyan arrows) (<xref rid="fig6" ref-type="fig">Figure 6B</xref>; <xref rid="figs6-1" ref-type="fig">Figure 6 – figure supplement 1B</xref>). We observed a greater proportion of cytosol-exposed <italic>Salmonella</italic> in <italic>CASP1</italic><sup>-/-</sup> cells compared to WT cells (<xref rid="figs6-1" ref-type="fig">Figure 6 – figure supplement 1A</xref>). Strikingly, these TEM results revealed distinct intracellular populations of <italic>Salmonella</italic> in human macrophages, providing further evidence that inflammasome signaling controls the replicative niches that <italic>Salmonella</italic> occupies in human macrophages.</p>
<fig id="fig6" position="float" orientation="portrait" fig-type="figure">
<label>Figure 6.</label>
<caption><title>Inflammasome activation modulates the cytosolic exposure of <italic>Salmonella</italic> in human macrophages.</title>
<p>(A, B) WT and <italic>CASP1</italic><sup>-/-</sup> THP-1 monocyte-derived macrophages were primed with 100 ng/mL Pam3CSK4 for 16 hours. Cells were then infected with WT <italic>S</italic>. Typhimurium at an MOI = 20. At 8 hpi, cells were fixed and collected to be processed for transmission electron microscopy. Representative transmission electron micrographs are shown. <italic>Salmonella</italic> (green) in an SCV (maroon) with cytosolic or vacuolar clearance (yellow). Scale bar represents 1 µm [A(i), B(i)] or 400 nm [A(ii), B(ii)]. (A) WT THP-1s, (ii) is an inset from (i). White arrows indicate vacuolar bacteria. (B) <italic>CASP1</italic><sup>-/-</sup> THP-1s, (ii) is an inset from (i). White arrows indicate vacuolar bacteria, cyan arrows indicate partially cytosolic bacteria, and black asterisk indicates a fully cytosolic bacterium. (C) <italic>CASP1</italic><sup>-/-</sup> THP-1 monocyte-derived macrophages were primed with 100 ng/mL Pam3CSK4 for 16 hours. Cells were then infected with WT <italic>S</italic>. Typhimurium at an MOI = 20. At 8 hpi, cells were fixed and collected to be processed for transmission electron microscopy. Representative tomogram slices are shown, depicting <italic>Salmonella</italic> (green) in an SCV with a discontinuous vacuolar membrane (maroon).</p></caption>
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</fig>
<p>We next sought to further characterize the cytosolic exposure of <italic>Salmonella</italic> in <italic>CASP1</italic><sup>-/-</sup> THP-1 cells using electron tomography (ET), a technique that can reveal three-dimensional (3D) detail about SCV membranes. Indeed, we confirmed the presence of <italic>Salmonella</italic> in SCVs with varying degrees of vacuolar membrane discontinuities, yielding various extents of cytosolic exposure (<xref rid="fig6" ref-type="fig">Figure 6C</xref>; <xref rid="figs6-1" ref-type="fig">Figure 6 – figure supplement 1C</xref>; Video 1). Altogether, our TEM and ET data reveal the full spectrum of cytosolic exposure for <italic>Salmonella</italic> in <italic>CASP1</italic><sup>-/-</sup> cells as a result of vacuolar membrane discontinuities. Overall, our findings indicate that inflammasome responses play a role in modulating the subcellular populations of <italic>Salmonella</italic>, thereby controlling the number of <italic>Salmonella</italic> able to replicate within the cytosol and SCV in human macrophages.</p>
</sec>
</sec>
<sec id="s3">
<title>Discussion</title>
<p>Our data reveal that inflammatory caspases and downstream cell lysis mediators are required to restrict <italic>Salmonella</italic> replication in human macrophages. Furthermore, our findings indicate that inflammasomes restrict <italic>Salmonella</italic> hyperreplication within the cytosol of human macrophages. Caspase-1 is required for inflammasome responses and control of intracellular <italic>Salmonella</italic> replication early during infection. In contrast, caspase-4 contributed minimally early during infection and instead played a larger role in inflammasome responses and restriction of <italic>Salmonella</italic> replication at later timepoints. We also found that GSDMD and NINJ1 were required for cell death, IL-1 cytokine release, and control of <italic>Salmonella</italic> replication. Finally, in the absence of these inflammasome components and effectors in human macrophages, we observed a hyperreplicating population of <italic>Salmonella</italic> within the cytosol, as well as increased bacterial loads within the SCV, suggesting that inflammasome activation prevents hyperreplication of <italic>Salmonella</italic> within the cytosol and increased replication within SCVs.</p>
<p>There are multiple downstream consequences of inflammasome activation, including pyroptosis, cytokine secretion, phagolysosomal fusion, the formation of pore-induced intracellular traps (PITs), and the generation of reactive oxygen species (ROS), each of which could be responsible for the control of intracellular <italic>Salmonella</italic> replication in human macrophages. Previous studies have suggested that inflammatory caspases limit the intracellular replication of WT <italic>Salmonella</italic> in human epithelial cells and murine macrophages through host cell death (<xref ref-type="bibr" rid="c1">Aachoui et al., 2013</xref>; <xref ref-type="bibr" rid="c48">Holly et al., 2020</xref>; Knodler, Crowley, et al., 2014). Interestingly, in murine macrophages, the restriction of a mutant strain of <italic>Salmonella</italic> that frequently enters the cytosol is dependent on caspase-1/11 but independent of IL-1 signaling and host cell death (<xref ref-type="bibr" rid="c131">Thurston et al., 2016</xref>). Moreover, caspase-1/11-dependent production of mitochondrial ROS and hydrogen peroxide contributes to the control of WT <italic>Salmonella</italic> replication in SCVs in murine macrophages (<xref ref-type="bibr" rid="c84">Man, Ekpenyong, et al., 2014</xref>). Future studies investigating the downstream consequences of inflammasome activation will help elucidate the mechanisms by which inflammatory caspases and cell lysis mediators control intracellular <italic>Salmonella</italic> replication in human macrophages.</p>
<p>Whereas caspase-1 is the primary caspase that mediates inflammasome responses and control of <italic>Salmonella</italic> burdens in human macrophages, our data indicate that caspase-4 also plays a role at a later stage of infection. Whether caspase-4 is activated by vacuolar <italic>Salmonella</italic> or hyperreplicating cytosolic <italic>Salmonella</italic> in human macrophages remains an open question. Other host immune factors may also contribute to caspase-4-dependent inflammasome responses to <italic>Salmonella</italic>. Guanylate binding proteins (GBPs) can modulate inflammasome responses to intracellular LPS and impact intracellular bacterial replication (<xref ref-type="bibr" rid="c23">Degrandi et al., 2007</xref>; <xref ref-type="bibr" rid="c28">Fisch et al., 2020</xref>; <xref ref-type="bibr" rid="c61">Kim et al., 2011</xref>; <xref ref-type="bibr" rid="c72">Kutsch et al., 2020</xref>; <xref ref-type="bibr" rid="c91">Meunier et al., 2014</xref>; <xref ref-type="bibr" rid="c103">Pilla et al., 2014</xref>; J. C. <xref ref-type="bibr" rid="c116">Santos et al., 2020</xref>; <xref ref-type="bibr" rid="c132">Tietzel et al., 2009</xref>; <xref ref-type="bibr" rid="c136">Wandel et al., 2020</xref>).</p>
<p>The impact of GSDMD on the restriction of intracellular <italic>Salmonella</italic> replication may be due to downstream responses, such as IL-1 release and pyroptosis. Moreover, pyroptosis can induce PIT formation, which traps and damages intracellular bacteria, rendering them more susceptible to immune defenses, such as neutrophil-mediated killing (<xref ref-type="bibr" rid="c54">Jorgensen et al., 2016</xref>). It is possible that pyroptosis leads to the development of PITs in human macrophages during <italic>Salmonella</italic> infection, thereby limiting <italic>Salmonella</italic>’s intracellular replication. In addition, the cleaved N-terminal fragment of GSDMD can directly kill bacteria (<xref ref-type="bibr" rid="c25">Ding et al., 2016</xref>; <xref ref-type="bibr" rid="c80">Liu et al., 2016</xref>; <xref ref-type="bibr" rid="c137">Wang et al., 2019</xref>), so perhaps GSDMD directly targets <italic>Salmonella</italic> to mediate restriction. It remains unknown whether other cell lysis factors, like NINJ1, together with GSDMD, directly bind the SCV, affecting vacuolar integrity and thus influencing intracellular <italic>Salmonella</italic> replication.</p>
<p>Our data indicate that inflammasome responses primarily control <italic>Salmonella</italic> replication within the cytosol of human macrophages and also within SCVs. How inflammasome activation inhibits <italic>Salmonella</italic> replication in the cytosol of human macrophages remains unknown. <italic>Salmonella</italic> hyperreplicates in the cytosol of human epithelial cells, which fail to undergo caspase-1-dependent inflammasome responses (<xref ref-type="bibr" rid="c48">Holly et al., 2020</xref>; Knodler, Crowley, et al., 2014; <xref ref-type="bibr" rid="c66">Knodler et al., 2010</xref>; <xref ref-type="bibr" rid="c65">Knodler, Nair, et al., 2014</xref>; <xref ref-type="bibr" rid="c99">Naseer, Zhang, et al., 2022</xref>). Our study suggests that <italic>CASP1</italic><sup>-/-</sup> THP-1 macrophages behave similarly to human IECs, as they support <italic>Salmonella</italic> hyperreplication in the cytosol in the absence of caspase-1. Inflammasome activation could curtail cytosolic replication of <italic>Salmonella</italic> through host cell death, direct GSDMD targeting of cytosolic <italic>Salmonella,</italic> and/or another effector mechanism. Alternatively, inflammasome activation could regulate the cytosolic access of <italic>Salmonella</italic> through host factors that directly damage the SCV, such as pore-forming proteins like GSDMD.</p>
<p>The bacterial factors that facilitate <italic>Salmonella</italic>’s cytosolic lifestyle in human macrophages remain largely unknown. Our findings indicate that the SPI-1 T3SS is partially required for <italic>Salmonella</italic> to access the cytosol in THP-1 macrophages. In epithelial cells, the SPI-1 T3SS SopB and SipA enable <italic>Salmonella</italic> to efficiently colonize and replicate in the cytosol (<xref ref-type="bibr" rid="c18">Chong et al., 2019</xref>; <xref ref-type="bibr" rid="c62">Klein, Grenz, et al., 2017</xref>). Future studies are needed to elucidate whether these same effectors play a role in supporting <italic>Salmonella</italic>’s cytosolic replication in human macrophages.</p>
<p>Of note, our data indicate that there is considerable single-cell heterogeneity in terms of total intracellular bacterial burdens as well as proportions of vacuolar and cytosolic <italic>Salmonella</italic> in human macrophages using single-cell microscopic analysis. Several factors could account for this phenotypic heterogeneity, including expression levels of inflammasome components, the amount of translocated <italic>Salmonella</italic> ligands, or the extent of inflammasome activation, all of which might differ at a single cell level and are masked in bulk-population assays. Notably, heterogeneity in <italic>Salmonella</italic> gene expression, intracellular <italic>Salmonella</italic> populations, and intracellular <italic>Salmonella</italic> proliferation and viability has been previously observed in human epithelial cells and murine macrophages (<xref ref-type="bibr" rid="c46">Helaine et al., 2010</xref>, <xref ref-type="bibr" rid="c45">2014</xref>; <xref ref-type="bibr" rid="c65">Knodler, Nair, et al., 2014</xref>; <xref ref-type="bibr" rid="c83">Malik-Kale et al., 2012</xref>; <xref ref-type="bibr" rid="c104">Powers et al., 2021</xref>).</p>
<p>Collectively, our results reveal that inflammasome responses restrict intracellular <italic>Salmonella</italic> replication, particularly within the cytosol of human macrophages. These findings are in contrast to mouse macrophages, where inflammasomes are activated but only marginally restrict the intracellular replication of WT <italic>Salmonella</italic>. Our findings provide insight into how human macrophages leverage inflammasomes to restrict <italic>Salmonella</italic> intracellular replication. Moreover, our work offers a basis for future studies to investigate how inflammasome activation modulates the subcellular localization of bacterial replicative niches within host cells.</p>
</sec>
<sec id="s4">
<title>Materials and Methods</title>
<sec id="s4a">
<title>Ethics statement</title>
<p>All experiments on primary human monocyte-derived macrophages (hMDMs) were performed in compliance with the requirements of the US Department of Health and Human Services and the principles expressed in the Declaration of Helsinki. hMDMs were derived from samples obtained from the University of Pennsylvania Human Immunology Core, and they are considered to be a secondary use of deidentified human specimens and are exempt via Title 55 Part 46, Subpart A of 46.101 (b) of the Code of Federal Regulations.</p>
</sec>
<sec id="s4b">
<title>Cell culture of THP-1 cells</title>
<p>THP-1 cells (TIB-202; American Type Culture Collection) were maintained in RPMI supplemented with 10% (vol/vol) heat-inactivated FBS, 0.05 nM β-mercaptoethanol, 100 IU/mL penicillin, and 100 μg/mL streptomycin at 37°C in a humidified incubator. Two days prior to experimentation, the cells were replated in media without antibiotics in a 48-well plate at a concentration of 2 × 10<sup>5</sup> cells/well or in a 24-well plate at a concentration of 3.5 × 10<sup>5</sup> cells per well and incubated with phorbol 12-myristate 13-acetate (PMA) for 24 hours to allow differentiation into macrophages. Then, macrophages were primed with 100 ng/mL Pam3CSK4 (Invivogen) for 16 to 20 hours prior to bacterial infections. For fluorescence microscopy experiments, cells were plated on glass coverslips in a 24-well plate.</p>
</sec>
<sec id="s4c">
<title>Cell culture of primary human monocyte-derived macrophages (hMDMs)</title>
<p>Purified human monocytes from deidentified healthy human donors were obtained from the University of Pennsylvania Human Immunology Core. The monocytes were cultured in RPMI supplemented with 10% (vol/vol) heat-inactivated FBS, 2 mM L-glutamine, 100 IU/mL penicillin, 100 μg/ml streptomycin, and 50 ng/ml recombinant human M-CSF (Gemini Bio-Products). Cells were cultured for 4 days in 10 mL of media in at a concentration of 4-5 × 10<sup>5</sup> cells/mL in 10 cm-dishes. Then, 10 mL of fresh growth media was added for an additional 2 days to promote complete differentiation into macrophages. One day prior to infection, the cells were rinsed with cold PBS, gently detached with trypsin-EDTA (0.05%) and replated in media without antibiotics and with 25 ng/mL human M-CSF in a 48-well plate at a concentration of 1 × 10<sup>5</sup> cells per well or in a 24-well plate at a concentration of 2 × 10<sup>5</sup> cells per well. For fluorescence microscopy, cells were replated on glass coverslips in a 24-well plate. For experiments involving LPS, cells were primed with 500 ng/mL LPS (Sigma-Aldrich) for 3 hours prior to bacterial infections.</p>
</sec>
<sec id="s4d">
<title>Inhibitor experiments</title>
<p>Human macrophages were treated 1 hour prior to infection at the indicated concentrations with the following inhibitors: 20 μM of the pan-caspase inhibitor Z-VAD(OMe)-FMK (SM Biochemicals; SMFMK001), 25 μM of the caspase-1 inhibitor Ac-YVAD-cmk (Sigma-Aldrich; SML0429), and 40 μM of the GSDMD inhibitor disulfiram (Sigma). DMSO treatment was used as a vehicle control with these inhibitors. To prevent cell lysis, cells were treated with 20 mM glycine (Fisher Scientific) for 30 minutes prior to infection. Distilled water was used as a vehicle control.</p>
</sec>
<sec id="s4e">
<title>Bacterial strains and growth conditions</title>
<p><italic>Salmonella enterica</italic> serovar Typhimurium SL1344 WT was routinely grown shaking overnight at 37°C in Luria-Bertani (LB) broth with streptomycin (100 μg/mL). For infection of cultured cells, the overnight culture was diluted in LB with streptomycin (100 μg/mL) containing 300 mM NaCl and grown standing for 3 hours at 37°C to induce SPI-1 expression (<xref ref-type="bibr" rid="c78">Lee &amp; Falkow, 1990</xref>). SL1344 WT <italic>glmS::Ptrc-mCherryST::FRT</italic> pNF101 (<xref ref-type="bibr" rid="c77">Lau et al., 2019</xref>) was kindly provided by Dr. Leigh Knodler. This strain constitutively expresses <italic>mCherry</italic> that is chromosomally encoded. It also harbors the <italic>PuhpT-gfpova</italic> plasmid, pNF101, where expression of GFP is under the control of the glucose-6-phosphate responsive <italic>uhpT</italic> promoter derived from <italic>Shigella flexneri</italic>. SL1344 WT <italic>glmS::Ptrc-mCherryST::FRT</italic> pNF101 was grown shaking overnight at 37°C in Luria-Bertani (LB) broth with streptomycin (100 μg/mL) and ampicillin (100 μg/mL). For SPI-1 induction prior to infection, the overnight culture was diluted in LB with streptomycin (100 μg/mL) and ampicillin (100 μg/mL) that also contained 300 mM NaCl and then grown standing for 3 hours at 37°C (<xref ref-type="bibr" rid="c78">Lee &amp; Falkow, 1990</xref>).</p>
</sec>
<sec id="s4f">
<title>Bacterial infections</title>
<p>Overnight cultures of <italic>Salmonella</italic> were diluted into LB broth with streptomycin (100 μg/mL) containing 300 mM NaCl and grown for 3 hours standing at 37°C to induce SPI-1 gene expression (<xref ref-type="bibr" rid="c78">Lee &amp; Falkow, 1990</xref>). Bacterial cultures were then pelleted at 6,010 × g for 3 minutes, washed once with PBS, and resuspended in PBS. Human macrophages were infected with <italic>Salmonella</italic> at a multiplicity of infection (MOI) of 20. Infected cells were centrifuged at 290 × g for 10 minutes and incubated at 37°C. At 30 minutes post-infection, the cells were treated with 100 ng/mL of gentamicin to kill any extracellular <italic>Salmonella</italic>. Then, the infection proceeded at 37°C for 6 to 8 hours, as indicated. For all experiments, control cells were mock-infected with PBS.</p>
</sec>
<sec id="s4g">
<title>Bacterial intracellular burden assay</title>
<p>Cells were infected with WT <italic>Salmonella</italic> as described above at an MOI of 20. Then, 30 minutes post-infection, cells were treated with 100 μg/ml of gentamicin to kill any extracellular bacteria. 1 hour post-infection, the media was replaced with fresh media containing 10 μg/ml of gentamicin. At the indicated time points, the infected cells were lysed with PBS containing 0.5% Triton to collect all intracellular <italic>Salmonella</italic>. Harvested bacteria were serially diluted in PBS and plated on LB agar plates containing streptomycin (100 μg/ml) to enumerate colony forming units (CFUs). Plates were incubated overnight at 37°C and CFUs were subsequently counted.</p>
</sec>
<sec id="s4h">
<title>Chloroquine (CHQ) Resistance Assay</title>
<p>THP-1 macrophages were infected in 48-well plates as described above. For each timepoint, triplicate wells were incubated in the presence of CHQ (500 µM) and gentamicin (100 ng/mL) for 1 hour to quantify the CHQ-resistant bacteria (<xref ref-type="bibr" rid="c5">Bârzu et al., 1997</xref>; <xref ref-type="bibr" rid="c26">Fernandez et al., 2001</xref>; <xref ref-type="bibr" rid="c62">Klein, Powers, et al., 2017</xref>; <xref ref-type="bibr" rid="c65">Knodler, Nair, et al., 2014</xref>; <xref ref-type="bibr" rid="c144">Zychlinsky et al., 1994</xref>). Another triplicate wells were incubated with gentamicin (100 ng/mL) only to quantify the total intracellular bacteria. At the indicated time points, the infected cells were lysed with PBS containing 0.5% Triton to collect intracellular <italic>Salmonella</italic>. Harvested bacteria were serially diluted in PBS and plated on LB agar plates containing streptomycin (100 μg/ml) to enumerate colony forming units (CFUs). Plates were incubated overnight at 37°C and CFUs were subsequently counted.</p>
</sec>
<sec id="s4i">
<title>ELISAs</title>
<p>Harvested supernatants from infected human macrophages were assayed for cytokine levels using ELISA kits for human IL-1α (R&amp;D Systems), IL-18 (R&amp;D Systems), IL-1β (BD Biosciences), and TNF-α (R&amp;D Systems).</p>
</sec>
<sec id="s4j">
<title>LDH cytotoxicity assays</title>
<p>Harvested supernatants from infected human macrophages were assayed for cytotoxicity by quantifying the loss of cellular membrane integrity via lactate dehydrogenase (LDH) activity. LDH release was measured using an LDH Cytotoxicity Detection Kit (Clontech) according to the manufacturer’s instructions and normalized to mock-infected cells.</p>
</sec>
<sec id="s4k">
<title>siRNA-mediated knockdown of genes</title>
<p>All Silencer Select siRNA oligos were purchased from Ambion (Life Technologies). Individual siRNA targeting <italic>NINJ1</italic> (ID# s9556) was used. The two Silencer Select negative control siRNAs (Silencer Select Negative Control No. 1 siRNA and Silencer Select Negative Control No. 2 siRNA) were used as a control. Three days prior to the infection, 30 nM of siRNA was transfected into the human macrophages using Lipofectamine RNAiMAX transfection reagent (Thermo Fisher Scientific) following the manufacturer’s protocol. Then, 24 hours after transfection, the media was replaced with fresh media containing antibiotics. Finally, 16 hours before infection, the media was replaced with fresh antibiotic-free media containing 100 ng/ml Pam3CSK4.</p>
</sec>
<sec id="s4l">
<title>Quantitative RT-PCR Analysis</title>
<p>RNA was isolated using the RNeasy Plus Mini Kit (Qiagen) following the manufacturer’s protocol. Human macrophages were lysed in 350 μL RLT buffer with β-mercaptoethanol and centrifuged through a QIAshredder spin column (Qiagen). cDNA was synthesized from isolated RNA using SuperScript II Reverse Transcriptase (Invitrogen) following the manufacturer’s protocol. Quantitative PCR was conducted with the CFX96 real-time system from Bio-Rad using the SsoFast EvaGreen Supermix with Low ROX (Bio-Rad). To calculate knockdown efficiency, mRNA levels of siRNA-treated cells were normalized to the housekeeping gene <italic>HPRT</italic> and control siRNA-treated cells using the 2<sup>−ΔΔCT</sup> (cycle threshold) method (<xref ref-type="bibr" rid="c81">Livak &amp; Schmittgen, 2001</xref>). The following primers from PrimerBank were used. The PrimerBank identifications are <italic>NINJ1</italic> (148922910c1), <italic>CASP4</italic> (73622124c2) and <italic>HPRT</italic> (164518913c1); all primers listed as 5′–3′:</p>
<p><italic>NINJ1</italic> forward: TCAAGTACGACCTTAACAACCCG</p>
<p><italic>NINJ1</italic> reverse: TGAAGATGTTGACTACCACGATG</p>
<p><italic>CASP4</italic> forward: TCTGCGGAACTGTGCATGATG</p>
<p><italic>CASP4</italic> reverse: TGTGTGATGAAGATAGAGCCCAT</p>
<p><italic>HPRT</italic> forward: CCTGGCGTCGTGATTAGTGAT</p>
<p><italic>HPRT</italic> reverse: AGACGTTCAGTCCTGTCCATAA</p>
</sec>
<sec id="s4m">
<title>Immunoblot analysis</title>
<p>Cell lysates were harvested for immunoblot analysis by adding 1X SDS/PAGE sample buffer to cells. All protein samples (lysates) were boiled for 5 minutes. Samples were separated by SDS/PAGE on a 12% (vol/vol) acrylamide gel and transferred to PVDF Immobilon-P membranes (Millipore). Primary antibodies specific for caspase-4 (4450S; Cell Signaling) and β-actin (4967L; Cell Signaling) and HRP-conjugated secondary antibodies anti-mouse IgG (F00011; Cell Signaling) and anti-rabbit IgG (7074S; Cell Signaling) were used. ECL Western Blotting Substrate (Pierce Thermo Scientific) was used as the HRP substrate for detection.</p>
</sec>
<sec id="s4n">
<title>Fluorescent microscopy of intracellular <italic>Salmonella</italic></title>
<p>Primary hMDMs or THP-1 cells were plated on glass coverslips in a 24-well plate as described above. Cells were either infected with WT <italic>Salmonella</italic> constitutively expressing GFP [Sl1344 harboring pFPV25.1 (<xref ref-type="bibr" rid="c134">Valdivia &amp; Falkow, 1996</xref>)], or WT <italic>Salmonella</italic> constitutively expressing mCherry with a cytosolic GFP reporter [SL1344 <italic>glmS::Ptrc-mCherryST::FRT</italic> pNF101 (<xref ref-type="bibr" rid="c77">Lau et al., 2019</xref>)] at an MOI of 20 as described above. At the indicated timepoints following infection, cells were washed 2 times with PBS and then fixed with 4% paraformaldehyde for 10 minutes. Following fixation, cells were mounted on glass slides with DAPI mounting medium (Sigma Fluoroshield). Coverslips were imaged on an inverted fluorescence microscope (IX81; Olympus), and the images were collected using a high-resolution charge-coupled-device camera (FAST1394; QImaging) at a magnification of 100×. All images were analyzed and presented using SlideBook (version 5.0) software (Intelligent Imaging Innovations, Inc.) and ImageJ software. For experiments with WT <italic>Salmonella</italic> constitutively expressing GFP, the proportion of infected cells containing GFP-expressing <italic>Salmonella</italic> (green) were scored by counting 50 infected cells per coverslip. 150 total infected cells were scored for each condition. For experiments with WT <italic>Salmonella</italic> constitutively expressing mCherry with a cytosolic GFP reporter, the proportion of infected cells containing GFP-positive <italic>Salmonella</italic> (cytosolic) and GFP-negative, mCherry-positive <italic>Salmonella</italic> (vacuolar) were scored by counting 50 infected cells per coverslip. 150 total infected cells were scored for each condition.</p>
</sec>
<sec id="s4o">
<title>Transmission electron microscopy</title>
<p>Two days prior to experimentation, 2 × 10<sup>6</sup> cells THP-1 cells were replated in 10-cm dishes in media without antibiotics and incubated with phorbol 12-myristate 13-acetate (PMA) for 24 hours to allow differentiation into macrophages. Then, macrophages were primed with 100 ng/mL Pam3CSK4 (Invivogen) for 16 hours prior to bacterial infection. Cells were infected with WT <italic>Salmonella</italic> at an MOI of 20 as described above. At 8 hpi, the media was aspirated, and the cells were fixed with 2.5% glutaraldehyde, 2.0% paraformaldehyde in 0.1M sodium cacodylate buffer, pH 7.4. Then, at the Electron Microscopy Resource Laboratory in the Perelman School of Medicine, after subsequent buffer washes, the samples were post-fixed in 2.0% osmium tetroxide with 1.5% K3Fe(CN)6 for 1 hour at room temperature, and rinsed in dH2O. After dehydration through a graded ethanol series, the tissue was infiltrated and embedded in EMbed-812 (Electron Microscopy Sciences, Fort Washington, PA). Thin sections were stained with uranyl acetate and SATO lead and examined with a JEOL 1010 electron microscope fitted with a Hamamatsu digital camera and AMT Advantage NanoSprint500 software.</p>
</sec>
<sec id="s4p">
<title>Electron tomography</title>
<p>Electron tomography was performed at room temperature on a ThermoFisher Krios G3i TEM equipped with a 300 keV field emission gun. Imaging was performed using the SerialEM software (<xref ref-type="bibr" rid="c89">Mastronarde, 2005</xref>) on a K3 direct electron detector (<xref ref-type="bibr" rid="c138">Xuong et al., 2007</xref>) (Gatan Inc., Pleasanton, CA, USA) operated in the electron-counted mode. We additionally used the Gatan Imaging Filter (Gatan Inc., Pleasanton, CA, USA) with a slit width of 20 eV to increase contrast by removing inelastically scattered electrons (<xref ref-type="bibr" rid="c70">Krivanek et al., 1995</xref>). After initially assessing the infected macrophages at lower magnifications, tilt series were collected at a magnification of 26,000X (with a corresponding pixel size of 3.38 Å) and a defocus of −6 µm. Precooking the target areas with a total dosage of 1000-1500 e/Å<sup>2</sup> was required to minimize sample shrinking and drifting during tilt series collection. A bi-directional tilt scheme was employed with 2° increments and 120° span (−60° to +60°). The cumulative dose of each tilt-series was in the order of ∼500 e−/Å2. Once acquired, tilt series were aligned (using the patch tracking function) and reconstructed into tomograms, both using the IMOD software package (<xref ref-type="bibr" rid="c69">Kremer et al., 1996</xref>). After careful assessment of the 3-dimensional (3-D) tomograms, optimal 2-D slices were chosen for figure presentations. Color overlays provide additional assistance with interpretation.</p>
</sec>
<sec id="s4q">
<title>Statistical analysis</title>
<p>Prism 9.5.0 (GraphPad Software) was utilized for the graphing of data and all statistical analyses. Statistical significance for experiments with THP-1 macrophages and hMDMs was determined using the appropriate test and are indicated in each figure legend. Differences were considered statistically significant if the <italic>p</italic> value was &lt;0.05.</p>
</sec>
</sec>
<sec id="d1e2423" sec-type="supplementary-material">
<title>Supporting information</title>
<supplementary-material id="d1e2534">
<label>SI Figure Legends, Without Figures</label>
<media xlink:href="supplements/549348_file03.pdf"/>
</supplementary-material>
<supplementary-material id="d1e2541">
<label>Video 1</label>
<media xlink:href="supplements/549348_file04.mov"/>
</supplementary-material>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>We thank members of Igor Brodsky’s and Sunny Shin’s laboratories for their scientific discussions and continuous support. We thank Leigh Knodler for providing SL1344 <italic>glmS::Ptrc-mCherryST::FRT</italic> pNF101 and Cornelius Taabazuing for providing <italic>CASP1</italic><sup>-/-</sup> and <italic>GSDMD</italic><sup>-/-</sup> THP-1 cells. We thank the Human Immunology Core of the Penn Center for AIDS Research and Abramson Cancer Center for providing purified primary human monocytes. We also thank the Electron Microscopy Resource Lab (EMRL) at the Perelman School of Medicine, University of Pennsylvania for TEM specimen processing, sectioning, and staining along with microscopy training. Additionally, we thank the EMRL for allowing us access and usage of the transmission electron microscope, JEOL JEM-1010. Lastly, we thank Gordon Ruthel at the Penn Vet Imaging Core and Ronit Schwartz for providing helpful insights on fluorescence microscopy.</p>
<p>This work was supported by National Institutes of Health (NIH)/National Institute of Allergy and Infectious Diseases (NIAID) grants: AI151476, AI118861, and AI123243 (S.S.), AI128630, AI163596, and AI139102 (I.E.B). This work was also supported by the Burroughs-Wellcome Fund Investigators in the Pathogenesis of Infectious Disease Award (S.S. and I.E.B.), the National Science Foundation Graduate Fellowships DGE-1321851 (M.S.E.) and DGE-1845298 (A.R.B.), the NIH/NIGMS grant T32GM07229 (E.A.O.), the David and Lucile Packard Fellowship for Science and Engineering 2019– 69645 (Y.-W.C.), and the Pennsylvania Department of Health FY19 Health Research Formula Fund (Y.-W.C.). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</p>
</ack>
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<p><bold>Video 1. Characterization of the cytosolic exposure of <italic>Salmonella</italic> in <italic>CASP1</italic><sup>-/-</sup> human macrophages.</bold> <italic>CASP1</italic><sup>-/-</sup> THP-1 monocyte-derived macrophages were primed with 100 ng/mL Pam3CSK4 for 16 hours. Cells were then infected with WT <italic>S</italic>. Typhimurium at an MOI = 20. At 8 hpi, cells were fixed and collected to be processed for transmission electron microscopy. Representative tomogram shown, depicting <italic>Salmonella</italic> in an SCV with a discontinuous vacuolar membrane.</p>
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<sub-article id="sa0" article-type="editor-report">
<front-stub>
<article-id pub-id-type="doi">10.7554/eLife.90107.1.sa3</article-id>
<title-group>
<article-title>eLife Assessment</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Weigel</surname>
<given-names>Detlef</given-names>
</name>
<role specific-use="editor">Reviewing Editor</role>
<aff>
<institution-wrap>
<institution>Max Planck Institute for Biology Tübingen</institution>
</institution-wrap>
<city>Tübingen</city>
<country>Germany</country>
</aff>
</contrib>
</contrib-group>
<kwd-group kwd-group-type="claim-importance">
<kwd>Important</kwd>
</kwd-group>
<kwd-group kwd-group-type="evidence-strength">
<kwd>Solid</kwd>
</kwd-group>
</front-stub>
<body>
<p>This <bold>important</bold> paper provides insights into the role of the inflammasomes in the control of Salmonella replication within human macrophages. <bold>Solid</bold> evidence is provided that in the absence of inflammasome signaling that Salmonella replicated in the macrophage cytosol. This paper will be of broad interest to cell biologists, immunologists and microbiologists.</p>
</body>
</sub-article>
<sub-article id="sa1" article-type="referee-report">
<front-stub>
<article-id pub-id-type="doi">10.7554/eLife.90107.1.sa2</article-id>
<title-group>
<article-title>Reviewer #1 (Public Review):</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<anonymous/>
<role specific-use="referee">Reviewer</role>
</contrib>
</contrib-group>
</front-stub>
<body>
<p>Summary:</p>
<p>In this excellent manuscript by Egan et al., the authors very carefully dissect the roles of inflammasome components in restricting Salmonella Typhimurium (STm) replication in human macrophages. They show that caspase-1 is essential to mediating inflammasome responses and that caspase-4 contributes to bacterial restriction at later time points. The authors show very clear roles for the host proteins that mediate terminal lysis, gasdermin D and ninjurin-1. The unique finding in this study is that in the absence of inflammasome responses, Salmonella hypereplicates within the cytosol of macrophages. These findings suggest that caspase-1 and possibly caspase-4 play roles in restricting the replication of Salmonella in the cytosol as well as in the Salmonella containing vacuole.</p>
<p>Strengths:</p>
<p>1. The genetic and biochemical approaches have shown for the first time in human macrophages that the caspase-1-GSDMD-NINJ1 axis is very important for restricting intracellular STm replication. In addition, they demonstrate a later role for Casp4 in control of intracellular bacterial replication.</p>
<p>2. In addition, they show that in macrophages deficient in the caspase-1-GSDMD-NINJ1 axis that STm are found replicating in the cytosol, which is a novel finding. The electron microscopy is convincing that STm are in the cytosol.</p>
<p>3. The authors go on to use a chloroquine resistance assay to show that inflammasome signaling also restricts STm within SCVs in human macrophages.</p>
<p>4. Finally, they show that the Type 3 Secretion System encoded on Salmonella Pathogenicity Island 1 contributes to STm's cytosolic access in human macrophages.</p>
<p>Weaknesses:</p>
<p>1. Their results with human macrophages suggest that there are differences between murine and human macrophages in inflammasome-mediated restriction of STm growth. For example, Thurston et al. showed that in murine macrophages that inflammasome activation controls the replication of mutant STm that aberrantly invades the cytosol, but only slightly limits replication of WT STm. In contrast, here the authors found that primed human macrophages rely on caspase-1, gasdermin D and ninjurin-1 to restrict WT STm. I wonder if the priming of the human macrophages in this study could account for the differences in these studies. Along those lines, do the authors see the same results presented in this study in the absence of priming the macrophages with Pam3CSK4. I think that determining whether the control of intracellular STm replication is dependent on priming is very important. Another difference with the Thurston et al. paper is the way that the STm inoculum was prepared - stationary phase bacteria that were opsonized. Could this also account for differences between the two studies rather than differences between murine and human macrophages in inflammasome-dependent control of STm?</p>
<p>2. The authors show that the pore-forming proteins GSDMD and Ninj1 contribute to control of STm replication in human macrophages. Is it possible that leakage of gentamicin from the media contributes to this control?</p>
<p>3. One major question that remains to be answered is whether casp-1 plays a direct role in the intracellular localization of STm. If the authors quantify the percentage of vacuolar vs. cytosolic bacteria at early time points in WT and casp-1 KO macrophages, would that be the same in the presence and absence of casp-1? If so, then this would suggest that there is a basal level of bacterial-dependent lysis of the SCV and in WT macrophages the presence of cytosolic PAMPS trigger cell death and bacteria can't replicate in the cytosol. However, in the inflammasome KO macrophages, the host cell remains alive and bacteria can replicate in the cytosol.</p>
</body>
</sub-article>
<sub-article id="sa2" article-type="referee-report">
<front-stub>
<article-id pub-id-type="doi">10.7554/eLife.90107.1.sa1</article-id>
<title-group>
<article-title>Reviewer #2 (Public Review):</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<anonymous/>
<role specific-use="referee">Reviewer</role>
</contrib>
</contrib-group>
</front-stub>
<body>
<p>Summary:</p>
<p>This work addresses the question of how human macrophages restrict intracellular replication of Salmonella.</p>
<p>Strengths:</p>
<p>Through a series of genetic knockouts and using specific inhibitors, Egan et al. demonstrated that the inflammasome components caspase-1, caspase-4, gasdermin D (GSDMD), and the final lytic death effector ninjurin-1 (NINJ1) are required for control of Salmonella replication in human macrophages. Interestingly, caspase-1 proved crucial in restricting Salmonella early during infection, whereas caspase-4 was essential in the later stages of infection. Furthermore, using a chloroquine resistance assay and state-of-the-art microscopy, the authors found that NAIP receptor and caspase-1 mostly regulate replication of cytosolic bacteria, with smaller, yet significant, impact on the vacuolar bacteria.</p>
<p>The finding that inflammasomes are critical in the restriction of replication of intracellular Salmonella in human macrophages contrasts with the published minimal role of inflammasomes in restriction of replication of intracellular Salmonella in murine macrophages. These findings demonstrate yet another example of interspecies and intercellular differences in regulation of bacterial infections by the immune system.</p>
<p>Weaknesses: none.</p>
</body>
</sub-article>
<sub-article id="sa3" article-type="referee-report">
<front-stub>
<article-id pub-id-type="doi">10.7554/eLife.90107.1.sa0</article-id>
<title-group>
<article-title>Reviewer #3 (Public Review):</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<anonymous/>
<role specific-use="referee">Reviewer</role>
</contrib>
</contrib-group>
</front-stub>
<body>
<p>The manuscript by Egan and coworkers investigates how Caspase-1 and Caspase-4 mediated cell death affects replication of Salmonella in human THP-1 macrophages in vitro.</p>
<p>Overall evaluation:</p>
<p>Strength of the study include the use of human cells, which exhibit notable differences (e.g., Caspase 11 vs Caspase-4/5) compared to commonly used murine models. Furthermore, the study combines inhibitors with host and bacterial genetics to elucidate mechanistic links.</p>
<p>The main weaknesses of the study are the inherent limitations of tissue culture models. For example, to study interaction of Salmonella with host cells in vitro, it is necessary to kill extracellular bacteria using gentamicin. However, since Salmonella-induced macrophage cell death damages the cytosolic membrane, gentamicin can reach intracellular bacteria and contribute to changes in CFU observed in tissue culture models (major point 1). This can result in tissue culture &quot;artefacts&quot; (i.e., observations/conclusions that cannot be recapitulated in vivo). For example, intracellular replication of Salmonella in murine macrophages requires T3SS-2 in vitro, but T3SS-2 is dispensable for replication in macrophages of the spleen in vivo (Grant et al., 2012).</p>
<p>Major comments:</p>
<p>In Figure 1: are increased CFU in WT vs CASP1-deficient THP-1 cells due to Caspase 1 restricting intracellular replication or due to Caspase-1 causing pore formation to allow gentamicin to enter the cytosol thereby restricting bacterial replication? The same question arises about Caspase-4 in Figure 2, where differences in CFU are observed only at 24h when differences in cell death also become apparent. The idea that gentamicin entering the cytosol through pores is responsible for controlling intracellular Salmonella replication is also consistent with the finding that GSDMD-mediated pore formation is required for restricting intracellular Salmonella replication (Figure 3). Similarly, the finding that inflammasome responses primarily control Salmonella replication in the cytosol could be explained by an intact SCV membrane protecting Salmonella from gentamicin (Figure 5).</p>
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</sub-article>
</article>