Inhibition of NOX2 and ROS switches LAP to autophagy during GAS infection. (A to E) In the presence or absence of DPI (10 μM) or NAC (10 mM) for 1 h, HMEC-1 cells were infected with GAS at an MOI of 5 for 30 min, and then gentamicin was added to kill extracellular bacteria. (A and B) Cells were fixed at 1 h postinfection and stained with anti-ULK1 and anti-LC3 antibodies. DAPI was used for cell nuclear and bacterial DNA staining. Specimens were observed by confocal microscopy (A). Scale bar, 10 μm. LC3-positive GAS surrounded with ULK1 was relative to total intracellular LC3-positive GAS (B). Data represent the means ± SD from three independent experiments, and over 100 cells were counted in each sample. **, P < 0.01; ***, P < 0.001. (C) Cells were collected at 1 h postinfection, followed by Western blot analysis to determine the protein expression levels of phosphorylated p70s6k Thr389 and total p70s6k. (D) Cells were fixed at 1 h postinfection, and conventional TEM was performed to observe the membrane structure of GAS-containing vacuoles. White arrowheads indicate the single-membrane structure; black arrowheads indicate the double-membrane structure. IM, isolation membrane. (E) Cells were collected at 1 h postinfection, followed by Western blot analysis to determine the protein expression levels of phosphorylated AKT Ser473, total AKT, phosphorylated ERK1/2 Thr202/Tyr204, and total ERK. (F) After pretreatment or no pretreatment with LY294002 (25 μM), AKT inhibitor X (25 μM), and PD98059 (25 μM) for 1 h, cells were infected with GAS at an MOI of 5 for 30 min, and then gentamicin was added to kill extracellular bacteria. Cells were collected at 3 h postinfection, followed by Western blot analysis to determine protein expression levels of phosphorylated p70s6k Thr389 and total p70s6k. β-Actin was used as an internal control for Western blot analysis.