Kiss and spit metabolomics highlights the role of the host cN-II enzyme on purine metabolism during pathogen infection

Intracellular pathogens are auxotrophic for many metabolites and must rely on the host. While this reliance is well established, how pathogens manipulate host metabolism to their benefit is not understood. For intracellular pathogens, distinguishing the origin of the metabolite as host- or pathogen-derived is challenging. The obligate intracellular parasite Toxoplasma gondii alters the host cell by a pre-invasion process known as "kiss and spit", where the contents of the parasite rhoptry organelles are secreted into the host cytoplasm before invasion occurs. This separation of microbe from the host offers a rare opportunity to demonstrate pathogen manipulation of the host. Using mass spectrometry-based metabolomics, we determined that kiss and spit changed host metabolites in nucleotide synthesis, the pentose phosphate pathway, glycolysis, and amino acid synthesis. An increase in 2,3-bisphosphoglycerate (2,3-BPG) abundance led us to hypothesize that high levels of host 2,3-BPG contribute to the activation of host cytosolic nucleosidase II (cN-II) to alter purine availability. Treatment with the cN-II inhibitor fludarabine and a cell line with a cN-II genetic knockout reduced T. gondii growth. Our results demonstrate that T. gondii rhoptry contents discharged during kiss and spit remodel host metabolism. They also suggest that T. gondii manipulates the host cN-II enzyme to acquire its necessary purine metabolites.