# The macrophage Repairome

> **NIH NIH R03** · OHIO STATE UNIVERSITY · 2021 · $78,750

## Abstract

Summary
Plasma membrane disruption by pore-forming toxins (PFTs) is a most common and ancient strategy used by
bacterial pathogens to infect their host and evade the host’s immune responses. Listeriolysin O (LLO) is a PFT
produced by the foodborne pathogen Listeria monocytogenes (Lm). Lm is a Gram-positive bacterium responsible
for listeriosis, a severe illness leading to 99% hospitalization and up to 30% fatality despite treatment. Lm is a
facultative intracellular pathogen that infects a large array of cells including macrophages. Although Lm produces
numerous virulence factors, LLO is uniquely known to be indispensable for pathogenesis. Therefore, LLO and
the host pathways targeted by this toxin are promising targets for the development of therapeutic interventions.
LLO is secreted at all stages of the Lm intracellular lifecycle and binds cholesterol to assemble a large
transmembrane pore complex. This virulence factor has long been known to perforate the membrane of the Lm-
containing phagosome to release Lm into its replicative niche, the cytosol. It was recently established that LLO
also perforates the host cell plasma membrane, which facilitates cell invasion and phagosomal escape.
Monocyte/Macrophages, which specialize in the capture and destruction of microbes, evolved cytoprotective
mechanisms (referred to as the macrophage repairome) to maintain cell homeostasis and survival despite LLO
attack. How macrophages repair their plasma membrane and prevent toxin attack is not fully understood. The
goal of this R03 proposal is to develop tools to discover the “macrophage repairome” using unbiased whole-
genome screening. Our lab successfully developed fluorescence-based screening methods to analyze the repair
machineries of cells exposed to LLO. To establish the macrophage repairome in an unbiased fashion, we will
perform a whole-genome screen using CRISPR/Cas9 genome editing. We will generate a CRISPR/Cas9 library
in THP-1 cells (human monocyte-like cell line) and screen the library for cells unable to maintain their integrity
upon LLO exposure using florescence-activated cell sorting (FACS)-selectable phenotype (positive screen).
Indeed, damaged cells with deficient cell repair will be fluorescent, whereas intact cells will exclude the
fluorescent dye. Deep sequencing will generate a list of candidate genes required for maintaining macrophage
integrity. We will perform pathway analysis, select the most novel and promising pathways, and validate the
selected pathways in THP-1 cells. These pathways will be studied in detail in the context of L. monocytogenes
infection via future R01 funding. Understanding the mechanisms used by macrophages to counteract bacterial
pore-forming toxins is expected to facilitate the development of novel antimicrobial treatments to alleviate the
burden of infectious diseases.

## Key facts

- **NIH application ID:** 10294333
- **Project number:** 1R03AI164337-01
- **Recipient organization:** OHIO STATE UNIVERSITY
- **Principal Investigator:** Stephanie M M Seveau
- **Activity code:** R03 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $78,750
- **Award type:** 1
- **Project period:** 2021-07-12 → 2023-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10294333

## Citation

> US National Institutes of Health, RePORTER application 10294333, The macrophage Repairome (1R03AI164337-01). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10294333. Licensed CC0.

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