Cellular and molecular architecture of granulomas in human tuberculous lymphadenitis

Active Project Grant Awarded Last action

Award ID
R01AI169526
Recipient
Awarding agency
Obligated
$871,120

Award facts

Assistance listing
93.855 Allergy and Infectious Diseases Research
Completion date 70% complete
Place of performance
Tunisia

Award details come from USAspending.gov.

Description

Abstract
Tuberculous lymphadenitis (TBL) is the most frequent form of extrapulmonary of TB affecting approximately 2000 individuals in tunisia annually, such that the disease is a clinical burden on the tunisian health care system. Since the occurrence of concomitant pulmonary TB in TBL patients is infrequent, and bacilli are rarely detected by microscopy, TBL represents a form of TB in which the infection is controlled and not yet disseminated, except in immunocompromised individuals. TBL in tunisia is generally caused by mycobacterium bovis or M. Tuberculosis, yet cannot be distinguished clinically, radiographically, or pathologically. The histologic hallmark of TB is the granuloma, an organized collection of macrophages, lymphocytes, and other cell types that function to contain and kill invading pathogens. Here, we will test the hypothesis that elucidation of the cellular and molecular architecture of TBL granulomas will lead to the identification of disease biomarkers and insight into the mechanisms by which T cell responses regulates antimicrobial responses in granulomas. We propose to study the cellular and molecular architecture of granulomas in TBL by integrating single cell RNA-sequencing (SCRNA-SEQ) with spatial-SEQ of lymph node specimens that are obtained as part of routine clinical care. This project brings together scientists from the benabdessalem lab at the institut pasteur DE tunis (IPT) with scientists from ucla, who have already collaborated to generate preliminary data measuring the spatial distribution of cell types and genes in pulmonary TB and TBL granulomas. In aim 1, we will determine the cellular and molecular architecture of TBL granulomas, identifying biomarkers related to antimicrobial responses that correlate with the causative agent, M. Bovis VS. M. Tuberculosis, as well as comparing the response in TBL to pulmonary TB. In aim 2, we will determine the contribution of T cells to control the infection in TBL granulomas through antimicrobial responses, including relevant correlates to specific mycobacterial antigens in peripheral blood. Together, these studies will provide new insight into the mechanisms by which the intersection of T cell responses and granuloma organization impacts host control of M. Bovis VS. M. Tuberculosis infection. As such, our studies of the specific immune biosignatures in TBL will expand our understanding of its immunopathogenesis, leading to improved care for patients with TBL. An important part of this application is to ensure transfer of technology and research training from the modlin lab at ucla to the benabdessalem lab at IPT.

Transactions

Action Obligated Date
Amendment $142,780
Amendment $144,940
Amendment $144,460
Amendment $144,460
Amendment $147,240
Original award $147,240

Quick answers

Who received award R01AI169526?

R01AI169526 was awarded to Institut Pasteur De Tunis by National Institute of Allergy and Infectious Diseases (National Institutes of Health) on May 1, 2023.

How much is award R01AI169526 worth?

$871,120 has been obligated on R01AI169526.

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