Evidence map›Paper›PMID 40089471›Full record

ArticleNature communications2025

Reprogramming aerobic metabolism mitigates Streptococcus pyogenes tissue damage in a mouse necrotizing skin infection model.

Wei Xu, Tara R Bradstreet, Zongsen Zou, Suzanne Hickerson, Yuan Zhou, Hongwu He, Brian T Edelson, Michael G Caparon

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Lysosomal permeabilization by Group AInfection and immunity · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Lysosomal permeabilization by Group AbioRxiv : the preprint server for biology · 2025
    Article
  10. Article
  11. Frontiers in cellular and infection microbiology · 2025
    Review
  12. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Wei XuDepartment of Molecular Microbiology, Center for Women's Infectious Disease Research, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-4319-7432
Tara R BradstreetDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-4073-6130
Zongsen ZouDepartment of Molecular Microbiology, Center for Women's Infectious Disease Research, Washington University School of Medicine, St. Louis, MO, USA.
Suzanne HickersonDepartment of Molecular Microbiology, Center for Women's Infectious Disease Research, Washington University School of Medicine, St. Louis, MO, USA.
Yuan ZhouKey Laboratory of Chemical Biology, Jiangxi Normal University, Nanchang, PR China.
Hongwu HeKey Laboratory of Pesticide and Chemical Biology of Ministry of Education, Central China Normal University, Wuhan, PR China.
Brian T EdelsonDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.
Michael G CaparonDepartment of Molecular Microbiology, Center for Women's Infectious Disease Research, Washington University School of Medicine, St. Louis, MO, USA. caparon@wustl.edu.ORCID http://orcid.org/0000-0003-1171-0772

Funding

Regulation of Immune Responses to Mycobacterium tuberculosis InfectionR01AI132653 · NIAID · WASHINGTON UNIVERSITY · PI EDELSON, BRIAN TODD, STALLINGS, CHRISTINA LEIGH · 2018 to 2022
$3.0M
Novel Therapeutic Approach to Invasive Group A Streptococcal DiseaseR21AI163825 · NIAID · WASHINGTON UNIVERSITY · PI CAPARON, MICHAEL G. · 2022 to 2023
$432k
Short Chain Fatty Acids and Streptococcus Pyogenes VirulenceR56AI070759 · NIAID · WASHINGTON UNIVERSITY · PI CAPARON, MICHAEL G. · 2019 to 2019
$353k
NIAID NIH HHS R01 AI132653NIAID NIH HHS R21 AI163825NIAID NIH HHS R56 AI070759
6 · The paper itself

Abstract

Disease tolerance is a host response to infection that limits collateral damage to host tissues while having a neutral effect on pathogen fitness. Previously, we found that the pathogenic lactic acid bacterium Streptococcus pyogenes manipulates disease tolerance using its aerobic mixed-acid fermentation pathway via the enzyme pyruvate dehydrogenase, but the microbe-derived molecules that mediate communication with the host's disease tolerance pathways remain elusive. Here we show in a murine model that aerobic mixed-acid fermentation inhibits the accumulation of inflammatory cells including neutrophils and macrophages, reduces the immunosuppressive cytokine interleukin-10, and delays bacterial clearance and wound healing. In infected macrophages, the aerobic mixed-acid fermentation end-products acetate and formate from streptococcal upregulate host acetyl-CoA metabolism and reduce interleukin-10 expression. Inhibiting aerobic mixed-acid fermentation using a bacterial-specific pyruvate dehydrogenase inhibitor reduces tissue damage during murine infection, correlating with increased interleukin-10 expression. Our results thus suggest that reprogramming carbon flow provides a therapeutic strategy to mitigate tissue damage during infection.

Indexed as

Skin Diseases, BacterialStreptococcal InfectionsStreptococcus pyogenesAcetyl Coenzyme AAerobiosisAnimalsDisease Models, AnimalFemaleFermentationInterleukin-10MacrophagesMiceMice, Inbred C57BLNecrosisNeutrophilsPyruvate Dehydrogenase ComplexAcetyl Coenzyme AIL10 protein, mouseInterleukin-10Pyruvate Dehydrogenase Complex

Identifiers

PMID40089471
PMCPMC11910614

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.