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The role of the Chlamydia trachomatis inclusion in the evasion of host cell-autonomous immunity
Umeå University, Faculty of Medicine, Molecular Infection Medicine Sweden (MIMS). Umeå University, Faculty of Medicine, Umeå Centre for Microbial Research (UCMR). Umeå University, Faculty of Medicine, Department of Molecular Biology (Faculty of Medicine). (Barbara Sixt lab)ORCID iD: 0000-0002-7121-6250
2026 (English)Doctoral thesis, comprehensive summary (Other academic)Alternative title
Betydelsen av Chlamydia trachomatis-innehållande vakuol för att undgå värdcellens försvar (Swedish)
Abstract [en]

Chlamydia trachomatis is the most prevalent bacterial cause of sexually transmitted infections, with ~128 million new cases reported annually. In addition, it is the agent of trachoma, making it also the leading infectious cause of blindness worldwide. Current treatment relies on broad-spectrum antibiotics, which are usually effective but can disrupt the microbiota and contribute to resistance development. These limitations underscore the urgent need for narrow-spectrum therapeutic strategies that exploit the pathogen’s unique obligate intracellular lifestyle and vulnerabilities.

This thesis investigated how C. trachomatis maintains its parasitophorous vacuole, the inclusion, and how host cells respond when inclusion integrity fails, focusing on the pathogen’s dependence on host-derived sphingolipids and the interplay with autophagy to identify mechanisms that could be harnessed for therapeutic targeting.

The first chapter details the identification of the inclusion membrane protein CpoS – a secreted C. trachomatis effector that inserts into the vacuole membrane – as a multifunctional virulence factor. Specifically, CpoS was found to organize inclusion membrane microdomains, modulate the host cytoskeleton, and interact with Rab GTPases, thereby manipulating membrane trafficking while also suppressing STING-dependent interferon responses and a defensive form of premature host cell death.

The second chapter presents findings from a genome-wide CRISPR screen and validations using novel microscopic inclusion damage reporters, collectively revealing that CpoS stabilizes inclusions by mediating acquisition of sphingolipids. Pharmacologic inhibition of sphingolipid synthesis further destabilized CpoS-deficient inclusions, resulting in infection clearance and host cell survival rather than death.

The third and final chapter describes how the application of inclusion damage reporters in electron microscopy and live cell imaging revealed that destabilization of CpoS-deficient inclusions initially involved small inclusion membrane breaks, followed by inclusion rupture and host cell death. Bacteria released from damaged inclusions were targeted by the xenophagic machinery. However, xenophagic degradation was incomplete due to the rapid progression toward cell death.

Collectively, this thesis established novel spatiotemporal imaging tools, elucidated the role of the inclusion in the evasion of host cell-autonomous immunity, and laid the groundwork for potential future therapeutic strategies focused on destabilizing the inclusion to combat C. trachomatis infection.

 

Place, publisher, year, edition, pages
Umeå: Umeå University, 2026. , p. 53
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 2409
Keywords [en]
Chlamydia trachomatis, CpoS, inclusion microdomains, inclusion integrity, cell-autonomous immunity, sphingolipids, xenophagy, split-GFP reporters
National Category
Cell and Molecular Biology Medical Life Sciences Infectious Medicine
Research subject
molecular medicine (medical sciences); Molecular Biology; Molecular Biology
Identifiers
URN: urn:nbn:se:umu:diva-249714ISBN: 978-91-8070-918-7 (print)ISBN: 978-91-8070-919-4 (electronic)OAI: oai:DiVA.org:umu-249714DiVA, id: diva2:2037149
Public defence
2026-03-06, Hörsal NAT.D.360, Naturvetarhuset, Umeå, 09:00 (English)
Opponent
Supervisors
Available from: 2026-02-13 Created: 2026-02-10 Last updated: 2026-02-13Bibliographically approved
List of papers
1. The Chlamydia effector CpoS modulates the inclusion microenvironment and restricts the interferon response by acting on Rab35
Open this publication in new window or tab >>The Chlamydia effector CpoS modulates the inclusion microenvironment and restricts the interferon response by acting on Rab35
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2023 (English)In: mBio, ISSN 2161-2129, E-ISSN 2150-7511, Vol. 14, no 4, article id e0319022Article in journal (Refereed) Published
Abstract [en]

The obligate intracellular bacterium Chlamydia trachomatis inserts a family of inclusion membrane (Inc) proteins into the membrane of its vacuole (the inclusion). The Inc CpoS is a critical suppressor of host cellular immune surveillance, but the underlying mechanism remained elusive. By complementing a cpoS mutant with various natural orthologs and variants of CpoS, we linked distinct molecular interactions of CpoS to distinct functions. Unexpectedly, we found CpoS to be essential for the formation of inclusion membrane microdomains that control the spatial organization of multiple Incs involved in signaling and modulation of the host cellular cytoskeleton. While the function of CpoS in microdomains was uncoupled from its role in the suppression of host cellular defenses, we found the ability of CpoS to interact with Rab GTPases to be required not only for the manipulation of membrane trafficking, such as to mediate transport of ceramide-derived lipids (sphingolipids) to the inclusion, but also for the inhibition of Stimulator of interferon genes (STING)-dependent type I interferon responses. Indeed, depletion of Rab35 phenocopied the exacerbated interferon responses observed during infection with CpoS-deficient mutants. Overall, our findings highlight the role of Inc-Inc interactions in shaping the inclusion microenvironment and the modulation of membrane trafficking as a pathogenic immune evasion strategy.

IMPORTANCE: Chlamydia trachomatis is a prevalent bacterial pathogen that causes blinding ocular scarring and urogenital infections that can lead to infertility and pregnancy complications. Because Chlamydia can only grow within its host cell, boosting the intrinsic defenses of human cells may represent a novel strategy to fight pathogen replication and survival. Hence, CpoS, a Chlamydia protein known to block host cellular defenses, or processes regulated by CpoS, could provide new opportunities for therapeutic intervention. By revealing CpoS as a multifunctional virulence factor and by linking its ability to block host cellular immune signaling to the modulation of membrane trafficking, the present work may provide a foundation for such rationale targeting and advances our understanding of how intracellular bacteria can shape and protect their growth niche.

Place, publisher, year, edition, pages
American Society for Microbiology, 2023
Keywords
cell-autonomous immunity, interferon responses, intracellular bacteria, membrane microdomains, membrane trafficking, Rab GTPases
National Category
Biochemistry Molecular Biology
Identifiers
urn:nbn:se:umu:diva-214251 (URN)10.1128/mbio.03190-22 (DOI)001041120000001 ()37530528 (PubMedID)2-s2.0-85169501656 (Scopus ID)
Funder
European Commission, PIOF-GA-2013-626116Swedish Research Council, 2016-06598Swedish Research Council, 2018-02286Swedish Research Council, 2021-06602Swedish Research Council, 2022-00852NIH (National Institutes of Health), AI100759, AI134891
Available from: 2023-09-18 Created: 2023-09-18 Last updated: 2026-02-10Bibliographically approved
2. Genome-wide identification of modulators of Chlamydia trachomatis parasitophorous vacuole stability highlights an important role for sphingolipid supply
Open this publication in new window or tab >>Genome-wide identification of modulators of Chlamydia trachomatis parasitophorous vacuole stability highlights an important role for sphingolipid supply
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2025 (English)In: PLoS biology, ISSN 1544-9173, E-ISSN 1545-7885, Vol. 23, no 8 August, article id e3003297Article in journal (Refereed) Published
Abstract [en]

A mechanistic understanding of how intracellular pathogens evade the intrinsic defenses of their host cells could open up intriguing therapeutic opportunities. Here, we applied a genome-wide genetic screening approach to investigate the nature of the defensive host cell death response suppressed by the membrane trafficking modulator CpoS, an effector protein secreted by the obligate intracellular bacterial pathogen Chlamydia trachomatis. Initially, this work revealed a CpoS-deficient mutant to exhibit a markedly increased dependence on host cellular synthesis of ceramides, the precursors of complex sphingolipids. Using novel microscopic reporters, we then established CpoS' role in defense evasion to occur by preserving the integrity of Chlamydia's parasitophorous vacuole (the inclusion) via ensuring an adequate sphingolipid supply. More specifically, we observed CpoS deficiency to destabilize inclusions, initially characterized by a release of individual bacteria into the host cell cytosol, then followed by inclusion rupture concomitant with host cell death. Exogenous addition of sphingosine stabilized CpoS-deficient inclusions, whereas disruption of host cellular ceramide synthesis destabilized wild-type inclusions. In combination, CpoS deficiency and impaired ceramide synthesis – presumably disrupting both Chlamydia's vesicular and non-vesicular sphingolipid supply routes – destabilized inclusions even earlier, resulting in infection clearance and host cell survival rather than host cell death. Overall, this study highlights how the vacuolar pathogen C. trachomatis maintains vacuole integrity by ensuring a steady sphingolipid supply, potentially offering inspiration and directions for future therapeutic strategies targeting parasitophorous vacuoles.

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2025
National Category
Biochemistry Molecular Biology
Identifiers
urn:nbn:se:umu:diva-243411 (URN)10.1371/journal.pbio.3003297 (DOI)001549672000002 ()40794560 (PubMedID)2-s2.0-105012876061 (Scopus ID)
Funder
Swedish Research Council, 2018-02286Swedish Research Council, 2022-00852Swedish Research Council, 2016-06598Swedish Research Council, 2021-06602The Kempe Foundations, JCK-1834The Kempe Foundations, JCK-2031.2Umeå UniversityGerman Research Foundation (DFG), RTG 2581
Available from: 2025-08-25 Created: 2025-08-25 Last updated: 2026-02-10Bibliographically approved
3. Xenophagy shapes host responses to pathogen vacuole damage during infection with Chlamydia trachomatis
Open this publication in new window or tab >>Xenophagy shapes host responses to pathogen vacuole damage during infection with Chlamydia trachomatis
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(English)Manuscript (preprint) (Other academic)
Keywords
Host-pathogen interaction, Chlamydia trachomatis, CpoS, pathogen vacuole integrity, membrane damage, cytosolic bacteria, FIB-SEM, live cell microscopy, xenophagy, host cell death
National Category
Cell and Molecular Biology Infectious Medicine
Research subject
Molecular Biology; molecular medicine (medical sciences)
Identifiers
urn:nbn:se:umu:diva-249712 (URN)
Funder
Swedish Research Council, 2022-00852Umeå University
Note

Other funding:

The Laboratory forMolecular Infection Medicine Sweden (MIMS) grant 2021-06602ANR (Agence National pour laRecherche) - RabReprogram (to AL)

Available from: 2026-02-10 Created: 2026-02-10 Last updated: 2026-02-13Bibliographically approved

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The full text will be freely available from 2027-03-06 07:00
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Jachmann, Lana H.

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