24Phthiocerol dimycocerosate (DIM) is a major virulence factor of the pathogen 25 Mycobacterium tuberculosis (Mtb). While this lipid promotes the entry of Mtb into 26 macrophages, which occurs via phagocytosis, its molecular mechanism of action is 27 unknown. Here, we combined biophysical, cell biology, and modelling approaches to 28 reveal the molecular mechanism of DIM action on macrophage membranes leading to 29 the first step of Mtb infection. MALDI-TOF mass spectrometry showed that DIM 30 molecules are transferred from the Mtb envelope to macrophage membranes during 31 infection. Multi-scale molecular modeling and 31 P-NMR experiments revealed that DIM 32 adopts a conical shape in membranes and aggregate in the stalks formed between 33 two opposing lipid bilayers. Infection of macrophages pre-treated with lipids of various 34shapes uncovered a general role for conical lipids in promoting phagocytosis. Taken 35 together, these results reveal how the molecular shape of a mycobacterial lipid can 36 modulate the biological function of macrophages. 37 38 we developed a multidisciplinary approach combining multiscale Molecular Dynamics 73 (MD) simulations, solid-state NMR and cell biology experiments. This revealed how 74 the molecular shape of DIM can affect macrophage membranes to promote 75 phagocytosis. 76 77 78 RESULTS 79 80
DIM are transferred to host cell membranes during macrophage infection 81First, we used MALDI-TOF mass spectrometry to assess whether DIM added 82 to host cells is incorporated into their membranes. Human macrophage (THP-1) cells 83 Figure 1: DIM are transferred from the bacterial envelope to macrophage membranes. (a) Structure of the DIM family of lipids, where m denotes the range of carbon atoms on the phthiocerol moiety, and n and p on the mycocerosate moieties. (b) MALDI-TOF mass spectra of purified DIM and of the membrane fraction of macrophages treated with DIM. (c) MALDI-TOF mass spectra of WT Mtb (HR37v) and of the membrane fraction of macrophages infected by H37Rv or by the H37RvDlppX mutant. M: low intensity peak corresponding to the detection of the matrix molecule in the DIM region of interest. The star symbol highlights the mass of the DIM molecule chosen for the modelling, with m=18, n=17, and p=4.