Abstract
Macrophages internalize and kill bacteria and thus are crucial for clearing bacterial infections. Although macrophage killing of some intracellular bacteria requires inflammasomes, the specific mechanisms of inflammasome-dependent killing are incompletely understood. Here we show that, upon infection with an intracellular pathogen Shigella flexneri, human macrophages activate a robust NLRC4-caspase-1 inflammasome response that restricts intracellular bacterial replication independently of pyroptosis. Gasdermin D (GSDMD) cleavage is required for bactericidal activity, revealing a GSDMD-dependent mechanism of bacterial killing independent of host cell death. We find that GSDMD-mediated killing of S. flexneri does not require bacterial cardiolipin, identifying a cardiolipinin-dependent mode of bacterial targeting. Priming macrophages with interferon (IFN)-γ enhances killing of intracellular S. flexneri by promoting involvement of caspase-4, which cooperates with caspase-1 to potentiate GSDMD function. These results identify a dual engagement of canonical and non-canonical inflammasomes that leads to macrophage killing S. flexneri while preserving host cell integrity. Furthermore, these findings uncover a previously unrecognized cardiolipin-independent mechanism of GSDMD-mediated bacterial killing with broad implications for immune cell control of cytosolic bacterial pathogens.