Mycobacterium tuberculosis (Mtb), the causative agent of
tuberculosis, is responsible for 1.5 million deaths annually. We previously
showed that Mtb infection in mice induces expression of the carbon monoxide (CO)
producing enzyme heme oxygenase (HO1) and that CO is sensed by Mtb to initiate a
dormancy program. Further, mice deficient in HO1 succumb to Mtb infection more
readily than wild type mice. While mouse macrophages control intracellular Mtb
infection through several mechanisms such as nitric oxide synthase, the
respiratory burst, acidification and autophagy, how human macrophages control
Mtb infection remains less well understood. Here we show that Mtb induces and
colocalizes with HO1 in both mouse and human tuberculosis lesions in
vivo, and that Mtb induces and colocalizes with HO1 during primary
human macrophage infection in vitro. Surprisingly, we find that
chemical inhibition of HO1 both reduces inflammatory cytokine production by
human macrophages and restricts intracellular growth of mycobacteria. Thus,
induction of HO1 by Mtb infection may be a mycobacterial virulence mechanism to
enhance inflammation and bacterial growth.