Characteristics of eosinophils migrating around fungal hyphae in nasal discharge

Kensuke Watanabe1, Toshihiro Misu, Shigenori Ohde

  • 1Department of Otorhinolaryngology, Koshigaya Hospital, Dokkyo University School of Medicine, Koshigaya, Saitama, Japan.

Insights

Eosinophils degranulate by phagocytosing fungal hyphae, releasing granular proteins. This novel mechanism, observed in allergic fungal sinusitis, involves a unique invaginated structure that adheres to fungal surfaces.

Area of Science:

  • Immunology
  • Cell Biology
  • Mycology

Background:

  • Eosinophil granular proteins are known to cause tissue damage.
  • The precise mechanisms of eosinophil degranulation, particularly in response to fungal elements, require further elucidation.

Purpose of the Study:

  • To investigate the degranulation process of eosinophils interacting with fungal hyphae.
  • To characterize the ultrastructural changes in eosinophils during degranulation around fungal structures.

Main Methods:

  • Electron microscopic examination of allergic mucin samples from patients with allergic fungal sinusitis.
  • Observation of eosinophil morphology and interaction with fungal hyphae.

Main Results:

  • Fungal hyphae were found surrounded by numerous eosinophils, some disintegrated, adhering to the hyphal cuticular layer.
  • A novel finding revealed eosinophils phagocytosing fungal cuticular substance into a sheetlike invaginated space within the cytoplasm.
  • This space contained a mixture of fungal material and eosinophil granular proteins, suggesting a unique degranulation pathway.

Conclusions:

  • Eosinophils exhibit a previously unreported degranulation mechanism involving phagocytosis of fungal hyphae.
  • The observed invaginated structure plays a role in releasing granular proteins and may remain adhered to the fungus even after eosinophil disintegration.
  • This finding offers new insights into eosinophil function in fungal-associated inflammatory conditions.

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