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. 2020 Jan 28;11:557. doi: 10.1038/s41467-019-14132-y

Fig. 7. Proposed mechanism for H2S-induced disease exacerbation.

Fig. 7

a As a response to Mtb infection, the host increases CBS and H2S production in the lungs and macrophages leading to increased bacillary burden, increased inflammation, and reduced survival. b Host-generated H2S is sensed by Mtb to stimulate respiration and energy metabolism, thereby increasing bacterial growth and accelerating disease. During infection, increased H2S suppresses iNOS levels and production of NO. H2S also mitigates the bacteriostatic effect of NO on Mtb respiration. Green arrows represent increase; red arrows represent decrease.