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Immunological down-regulation of host defenses in fungal infections
1Department of Microbiology and Immunology, University of Oklahoma Health Sciences Center, Oklahoma City, USA. juneann-murphy@ouhsc.edu
Abstract:
Fungal pathogens use multiple virulence factors to cause progressive disease. A mechanism that could be regarded as a virulence factor is the fungal pathogen's ability to evade or down-regulate host protective mechanisms. Cryptococcus neoformans is an excellent example of a fungal pathogen that can down-regulate both innate and immune host protective mechanisms. Cr. neoformans is a basidiomycetous yeast-like organism that causes cryptococcosis, a frequently fatal disease in man. This organism produces a capsule that inhibits phagocytosis, and the excess capsular material sloughs off and gets into the bloodstream where it causes L-selectin to shed from the leukocyte surface resulting in reduced migration of leukocytes into the site of infection. Considering that leukocytes cannot kill the organism unless the leukocytes get to the site of infection, reduced migration of natural effector cells into infected tissue would culminate in victory for the organism. Intravascular capsular polysaccharides of Cr. neoformans also induce regulatory T cells that inhibit the protective cell-mediated immune response. Isolates of Cr. neoformans that produce excessive capsular material in the host are highly virulent and a major contribution to their virulence is the ability of the capsular polysaccharide to down-modulate both innate and immune host defensive measures.
Insights
Cryptococcus neoformans evades host defenses using its capsule, which inhibits immune cell migration and promotes fungal virulence. This pathogen effectively down-regulates both innate and adaptive immune responses, leading to severe infections.
Area of Science:
- Mycology
- Immunology
- Pathogenesis
Background:
- Fungal pathogens employ virulence factors to establish progressive disease.
- Cryptococcus neoformans (Cr. neoformans) is a significant human pathogen causing cryptococcosis.
- Cr. neoformans can evade and suppress host immune responses, contributing to its virulence.
Purpose of the Study:
- To elucidate the mechanisms by which Cr. neoformans down-regulates host protective mechanisms.
- To investigate the role of the fungal capsule in immune evasion and pathogenesis.
Main Methods:
- Analysis of the Cr. neoformans capsule's role in inhibiting phagocytosis.
- Investigation of capsular polysaccharide effects on leukocyte migration (L-selectin shedding).
- Assessment of capsular polysaccharide-induced regulatory T cell activity.
Main Results:
- The Cr. neoformans capsule inhibits phagocytosis and causes L-selectin shedding from leukocytes, reducing immune cell infiltration.
- Intravascular capsular polysaccharides induce regulatory T cells, suppressing cell-mediated immunity.
- Highly virulent isolates exhibit excessive capsular material production, correlating with immune down-modulation.
Conclusions:
- Cr. neoformans utilizes its capsule as a key virulence factor to evade host defenses.
- The down-regulation of innate and adaptive immunity by the capsular polysaccharide is critical for Cr. neoformans pathogenesis.
- Targeting these immune evasion strategies could offer therapeutic benefits against cryptococcosis.
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