Conclusions We have presented evidence that DCs undergo cell death after infection with Mtb in vitro, just as macrophages do. In H37Ra infection this non-apoptotic response does not limit the viability

of the infecting bacillus, yet it does not interfere with DC maturation or cytokine production, as previously reported. The lack of caspase activity seen may also Etomoxir nmr contribute to the host response by allowing DAMPS to drive anti-TB immunity, without neutralisation by these important proteases. Further work is needed to determine whether the virulent strain H37Rv induces a similar non-apoptotic form of cell death in human DCs. Methods Selisistat in vivo Mycobacteria M. tuberculosis strains H37Ra and H37Rv were obtained from the American Type Culture Collection (Manassas, VA). Mycobacteria were propagated in Middlebrook 7H9 broth (Difco/Becton DMXAA manufacturer Dickinson, Sparks, MD) supplemented with albumin-dextrose-catalase supplement (Becton Dickinson)

and 0.05% Tween 80 (Difco). Aliquots were stored at -80°C, thawed and grown to log phase in Middlebrook 7H9 medium before use. Inactivation of mycobacteria with streptomycin Log-phase H37Ra were treated with streptomycin sulphate (Sigma, St. Louis, MO; 0.1 mg/ml) for 48 h prior to infection. Streptomycin was thoroughly washed from mycobacteria prior to DC infection. Gamma-irradiated H37Rv Obtained through the NIH Biodefense and Emerging Infections Research Resources Repository, NIAID, NIH: Mycobacterium tuberculosis, Florfenicol Strain H37Rv, Gamma-Irradiated Whole Cells, NR-14819. Cell Culture Peripheral blood mononuclear cells (PBMCs) were isolated from buffy coats of anonymous healthy donors (provided, with permission, from the Irish Blood Transfusion

Service). The PPD status of donors was unknown. PBMCs were separated by density centrifugation on Lymphoprep (Axis-Shield, Oslo, Norway), washed and re-suspended in serum-free RPMI 1640 (Gibco, Invitrogen, Carlsbad, CA; for plastic adherence monocyte separation) or in PBS (Sigma) with 2% defined foetal bovine serum (FBS; HyClone, Thermo Fisher Scientific, Waltham, MA) and 1 mM EDTA (Sigma) (for immunomagnetic negative selection). Monocytes were isolated by plastic adherence, or by negative selection using the immunomagnetic negative selection EasySep Human Monocyte Enrichment Kit (STEMCELL Technologies, Vancouver, BC), as per manufacturer’s instructions. For plastic adherence separation, PBMCs were incubated at 37°C for 2 h in serum-free RPMI. After incubation, unwanted cells were thoroughly washed from the adherent monocytes, which were then incubated in DC medium: RPMI supplemented with 10% defined FBS, 40 ng/ml recombinant human IL-4 and 50 ng/ml recombinant human GM-CSF (both ImmunoTools, Friesoythe, Germany).