RT Journal Article SR Electronic T1 Plasma membrane damage causes NLRP3 activation and pyroptosis during Mycobacterium tuberculosis infection JF bioRxiv FD Cold Spring Harbor Laboratory SP 747014 DO 10.1101/747014 A1 Beckwith, Kai S. A1 Beckwith, Marianne S. A1 Ullmann, Sindre A1 Sætra, Ragnhild A1 Kim, Haelin A1 Marstad, Anne A1 Åsberg, Signe E. A1 Strand, Trine A. A1 Stenmark, Harald A. A1 Flo, Trude H. YR 2019 UL http://biorxiv.org/content/early/2019/08/28/747014.abstract AB Mycobacterium tuberculosis (Mtb) is a major global health problem and causes extensive cytotoxicity in patient cells and tissues. Here we define an NLRP3, caspase-1 and gasdermin D-mediated pathway to pyroptosis in human monocytes following exposure to Mtb. We demonstrate an ESX-1 mediated, contact-induced plasma membrane (PM) damage response that occurs during phagocytosis or from the cytosolic side of the PM after phagosomal rupture in Mtb infected cells. This PM injury in turn causes K+ efflux and activation of NLRP3 dependent IL-1β release and pyroptosis, facilitating the spread of Mtb to neighbouring cells. Further we reveal a dynamic interplay of pyroptosis with ESCRT-mediated PM repair. Collectively, these findings reveal a novel mechanism for pyroptosis and spread of infection acting through dual PM disturbances both during and after phagocytosis. We also highlight dual PM damage as a common mechanism utilized by other NLRP3 activators that have previously been shown to act through lysosomal damage.