Poster Presenter
              
              Foamy Macrophages from Tuberculous 
              Patients’ Granulomas Constitute a Nutrient-Rich Reservoir 
              for M. Tuberculosis Persistence, and a Very Useful Model 
              for TB Drug Screening
              Frédéric Altare, Pascale Peyron, Julien Vaubourgeix, 
              Yannick Poquet, Florence Levillain, Catherine Botanch, Fabienne 
              Bardou, Mamadou Daffé, Jean-François Emile, Bruno 
              Marchou, Pere-Joan Cardona, Chantal de Chastellier
              France
              
              Tuberculosis is characterized by a tight interplay between Mycobacterium 
              tuberculosis and host cells within granulomas. These cellular 
              aggregates restrict bacterial spreading, but do not kill all the 
              bacilli, which can persist for years. In depth investigation of 
              M. tuberculosis interactions with granuloma-specific cell 
              populations are needed to gain insight into mycobacterial persistence, 
              and to better understand the physiopathology of the disease. 
              
              We have analyzed the formation of foamy macrophages (FMs), a granuloma-specific 
              cell population characterized by its high lipid content, and studied 
              their interaction with the tubercle bacillus. Within in vitro 
              human granuloma, M. tuberculosis triggered the differentiation 
              of human monocyte-derived macrophages into FMs. In these cells, 
              mycobacteria no longer replicated and switched to a dormant non-replicative 
              state. Electron microscopy observation of M. tuberculosis-infected 
              FMs showed that the mycobacteria-containing phagosomes migrate towards 
              host cell lipid bodies, a process which culminates with the engulfment 
              of the bacillus into the lipid droplets and with the accumulation 
              of lipids within the microbe.
              
              Altogether, our results suggest that these cells might constitute 
              a reservoir used by the tubercle bacillus for long-term persistence 
              within its human host, and could provide a relevant model for the 
              screening of new antimicrobials against non-replicating persistent 
              mycobacteria
              
            References:
              
              -Foamy macrophages from tuberculous patients' granulomas constitute 
              a nutrient-rich reservoir for M. tuberculosis persistence.
              Peyron P, Vaubourgeix J, Poquet Y, Levillain F, Botanch C, Bardou 
              F, Daffé M, Emile JF, Marchou B, Cardona PJ, de Chastellier 
              C, Altare F. PLoS Pathog. 2008 Nov;4(11):e1000204.
            - Foamy macrophages and the progression of 
              the human tuberculosis granuloma.
              Russell DG, Cardona PJ, Kim MJ, Allain S, Altare F. Nat Immunol. 
              2009 Sep;10(9):943-8.