Detection of cyclic-di-adenosine monophosphate (c-di-AMP), a bacterial second messenger, by the host cytoplasmic surveillance pathway (CSP) is known to elicit Type I interferon responses critical for antimicrobial defense1–3. However, the mechanisms and role of c-di-AMP signaling in Mycobacterium tuberculosis virulence remain unclear. Here we show that resistance to tuberculosis (TB) requires CSP-mediated detection of c-di-AMP produced by M. tuberculosis and that levels of c-di-AMP modulate the fate of infection. We found that a di-adenylate cyclase (disA or dacA)4 over-expressing M. tuberculosis strain that secretes excess c-di-AMP activates the interferon regulatory factor (IRF) pathway with enhanced levels of IFN-β, elicits increased macrophage autophagy, and exhibits significant attenuation in mice. We show that c-di-AMP-mediated IFN-β induction during M. tuberculosis infection requires stimulator of interferon genes (STING)5-signaling. We observed that c-di-AMP induction of IFN-β is independent of the cytosolic nucleic acid receptor cyclic-GMP-AMP (cGAMP) synthase (cGAS)6–7, but cGAS nevertheless contributes substantially to the overall IFN-β response to M. tuberculosis infection. In sum, our results reveal c-di-AMP to be a key mycobacterial pathogen associated molecular pattern (PAMP) driving host Type I IFN responses and autophagy. These findings suggest that modulating the levels of this small molecule may lead to novel immunotherapeutic strategies against TB.

Human embryonic stem cells (hESC) have potential applications as tools for drug screening to identify small molecule regulators of self-renewal or differentiation. Elucidating the mechanisms governing lineage commitment in hESC will allow for efficient derivation of specified cell types for clinical use. Recognizing the early steps in loss of pluripotency is key to achieving both goals of drug screening and derivation of therapeutically relevant cell types. Here we report the use of a real time cell cycle fluorescent reporter for the first time in hESC that indicates onset of differentiation in a lineage unbiased manner. Pluripotent hESC possess a short cell cycle length, due primarily to a truncated G1 phase. G1 lengthens concomitant with differentiation. Stable hESC lines expressing the live cell cycle reporter exhibit fluorescence only during G1. Due to the short length of pluripotent G1 phase, G1 fluorescence is only weakly and transiently detected, however it is quickly increased to easily detectable levels upon onset of differentiation. We hypothesize that lengthened G1 phase can be used as an indicator of differentiation status of individual human embryonic stem cells. Cells with lengthened G1 are typically negative for pluripotency markers OCT4, Tra-1-60 and SSEA-3 following differentiation. Differentiated cells with lengthened G1 also demonstrate increased levels of lineage-specific differentiation markers at both the protein and mRNA level. Automated image analysis of hESC indicates this mutually exclusive relationship between lengthened G1 and pluripotency exists both on the cellular level and in colonies as a whole. Here we have shown that lengthened G1 indicates both loss of pluripotency and gain of lineage markers.

Oral TNA may improve clinical efficacy in light- or laser-based melasma treatment especially during the period of relative high sun exposure without serious adverse effects.

During human latent tuberculosis (TB) infection, Mycobacterium tuberculosis likely resides within the nutrient-starved environment of caseous lung granulomas. The stringent response alarmone (p)ppGpp is synthesized by Rel in response to nutrient starvation, thus enabling tubercle bacilli to restrict growth and shut down metabolism in a coordinated fashion. In this study, we investigated the virulence of a rel-deficient M. tuberculosis mutant in the guinea pig model. Quantitative RT-PCR was used to study the effect of (p)ppGpp deficiency on expression of key cytokine and chemokine genes in guinea pig lungs. The rel-deficient mutant showed impaired initial growth and survival relative to the wild-type strain. Loss of Rel was associated with the striking absence of tubercle lesions grossly and of caseous granulomas histologically. The attenuated phenotype of the rel-deficient mutant was not associated with increased expression of genes encoding the proinflammatory cytokines IFN-γ and TNF-α in the lungs 28 days after infection.