Fangchinoline drives NOS2-dependent host immunity to restrict intracellular enteric pathogens
Year: 2026
Type: article
Abstract: Intracellular bacterial infections remain difficult to treat due to antibiotic tolerance, immune evasion, and the emergence of multidrug resistance. Here, we identify Fangchinoline (Fcn), a natural alkaloid, as a host-directed immunomodulator that restricts intracellular Salmonella through NOS2-dependent nitric oxide (NO) signalling. Fcn enhances macrophage bactericidal activity and promotes Th1 immunity, leading to improved bacterial control in vitro and in vivo . Pharmacological inhibition of NO synthesis and loss of protection in NOS2 −/− mice establish NO as a central effector mechanism. Serum metabolomics indicate Fcn is associated with immunometabolic changes consistent with enhanced NO biosynthesis. In addition, Fcn synergizes with suboptimal-dose Ciprofloxacin to control Salmonella infection while preserving host immune responses. Notably, Fcn primes memory-like T cell responses and enhances resistance upon subsequent infection. Collectively, these findings suggest Fangchinoline as a host-directed immunotherapeutic that integrates metabolic, innate, and adaptive immune programs to restrict intracellular enteric pathogens, including multidrug-resistant strains, and augment antibiotic efficacy.
Source: iScience
Language: English
Subfield: Immunology
Field: Immunology and Microbiology
Domain: Life Sciences
Open Access status: gold
Estimated APC paid: $3,240
Award: G298819365
OpenAlex ID: W7171364587
