Adjunct antibody administration with standard treatment reduces relapse rates in a murine tuberculosis model of necrotic granulomas

PLoS One. 2018 May 14;13(5):e0197474. doi: 10.1371/journal.pone.0197474. eCollection 2018.

Abstract

Matrix metalloproteinase (MMP)-9 is a zinc-dependent protease associated with early immune responses to Mycobacterium tuberculosis infection, macrophage recruitment and granuloma formation. We evaluated whether adjunctive inhibition of MMP-9 could improve the response to standard TB treatment in a mouse model that develops necrotic lesions. Six weeks after an aerosol infection with M. tuberculosis, C3HeB/FeJ mice received standard TB treatment (12 weeks) comprising rifampin, isoniazid and pyrazinamide alone or in combination with either anti-MMP-9 antibody, etanercept (positive control) or isotype antibody (negative control) for 6 weeks. Anti-MMP-9 and the isotype control had comparable high serum exposures and expected terminal half-life. The relapse rate in mice receiving standard TB treatment was 46.6%. Compared to the standard TB treatment, relapse rates in animals that received adjunctive treatments with anti-MMP-9 antibody or etanercept were significantly decreased to 25.9% (P = 0.006) and 29.8% (P = 0.019) respectively, but were not different from the arm that received the isotype control antibody (25.9%). Immunostaining demonstrated localization of MMP-9 primarily in macrophages in both murine and human lung tissues infected with M. tuberculosis, suggesting the importance of MMP-9 in TB pathogenesis. These data suggest that the relapse rates in M. tuberculosis-infected mice may be non-specifically improved by administration of antibodies in conjunction with standard TB treatments. Future studies are needed to evaluate the mechanism(s) leading to improved outcomes with adjunctive antibody treatments.

MeSH terms

  • Animals
  • Antibodies, Bacterial / administration & dosage*
  • Antibodies, Bacterial / blood
  • Bacterial Load
  • Disease Models, Animal
  • Female
  • Granuloma / blood
  • Granuloma / enzymology
  • Granuloma / immunology*
  • Granuloma / pathology*
  • Humans
  • Lung / microbiology
  • Lung / pathology
  • Matrix Metalloproteinase 9 / metabolism
  • Mice
  • Necrosis
  • Recurrence
  • Tuberculosis / blood
  • Tuberculosis / enzymology
  • Tuberculosis / immunology*
  • Tuberculosis / pathology

Substances

  • Antibodies, Bacterial
  • Matrix Metalloproteinase 9

Grants and funding

This work was supported by a grant (15120275) to Johns Hopkins University (S.K.J.) by Gilead Sciences, Inc. (www.gilead.com), who had an active role in the study design, data collection and analysis, and preparation of the manuscript.