Mycobacterium tuberculosis-induced macrophage apoptosis can be inhibited by
mannosylated lipoarabinomannan (ManLAM), although it induces tumor necrosi
s factor (TNF)-alpha and NO production, which participate in apoptosis indu
ction. ManLAM also modulates Ca+2- dependent intracellular events, and Ca+2
participates in apoptosis in different systems. Ca+2 was assessed for invo
lvement in M, tuberculosis-induced macrophage apoptosis and for modulation
by ManLAM, The role of Ca+2 was supported by the blockade of apoptosis by c
AMP inhibitors and the Ca+2 chelator, BAPTA/AM, These agents also inhibited
caspase-1 activation and cAMP-responsive element-binding protein transloca
tion without affecting TNF-alpha production. Infection of macrophages with
M, tuberculosis induced an influx of Ca+2 that was prevented by ManLAM, Sim
ilarly, M. tuberculosis infection-altered mitochondrial permeability transi
tion was prevented by ManLAM and BAPTA/AM. Finally, ManLAM and BAPTA/AM rev
ersed the effects of nl. tuberculosis on p53 and Bcl-2 expression. ManLAM c
ounteracts the alterations of calcium-dependent intracellular events that o
ccur during M. tuberculosis-induced macrophage apoptosis.