RT Journal Article SR Electronic T1 Macrophages inhibit Coxiella burnetii by the ACOD1-itaconate pathway for containment of Q fever JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.05.10.491306 DO 10.1101/2022.05.10.491306 A1 Lisa Kohl A1 Md. Nur A Alam Siddique A1 Barbara Bodendorfer A1 Raffaela Berger A1 Annica Preikschat A1 Christoph Daniel A1 Martha Ölke A1 Michael Mauermeir A1 Kai-Ting Yang A1 Inaya Hayek A1 Manuela Szperlinski A1 Jan Schulze-Luehrmann A1 Ulrike Schleicher A1 Aline Bozec A1 Gerhard Krönke A1 Peter J. Murray A1 Stefan Wirtz A1 Masahiro Yamamoto A1 Valentin Schatz A1 Jonathan Jantsch A1 Peter Oefner A1 Daniel Degrandi A1 Klaus Pfeffer A1 Simon Rauber A1 Christian Bogdan A1 Katja Dettmer A1 Anja Lührmann A1 Roland Lang YR 2022 UL http://biorxiv.org/content/early/2022/05/11/2022.05.10.491306.abstract AB Infection with the intracellular bacterium Coxiella (C.) burnetii can cause chronic Q fever with severe complications and limited treatment options. Here, we identify the enzyme cis- aconitate decarboxylase 1 (ACOD1 or IRG1) and its product itaconate as protective host immune pathway in Q fever. Infection of mice with C. burnetii induced expression of several anti-microbial candidate genes, including Acod1. In macrophages, Acod1 was essential for restricting C. burnetii replication, while other antimicrobial pathways were dispensable. Intratracheal or intraperitoneal infection of Acod1-/- mice caused increased C. burnetii burden, significant weight loss and stronger inflammatory gene expression. Exogenously added itaconate restored pathogen control in Acod1-/- mouse macrophages and blocked replication in human macrophages. In axenic cultures, itaconate directly inhibited growth of C. burnetii. Finally, treatment of infected Acod1-/-mice with itaconate efficiently reduced the tissue pathogen load. Thus, ACOD1-derived itaconate is a key factor in the macrophage-mediated defense against C. burnetii and may be exploited for novel therapeutic approaches in chronic Q fever.Competing Interest StatementThe authors have declared no competing interest.