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Passive Administration of Monoclonal Antibodies Against H. capsulatum and Others Fungal Pathogens
Published on: February 14, 2011
Modulation of infection with Histoplasma capsulatum by inhibition of tumor necrosis factor-alpha activity
1Division of Infectious Diseases, Veterans Affairs Hospital, University of Cincinnati College of Medicine, Cincinnati, Ohio 45267-0560, USA. george.deepe@uc.edu
Abstract:
Tumor necrosis factor (TNF)-alpha is required for host defenses against a number of pathogenic microbes, including Histoplasma capsulatum. In mice, TNF-alpha is necessary for the generation of a protective immune response to both primary and secondary histoplasmosis. Recent reports indicate that, in humans, treatment with inhibitors of TNF-alpha is associated with disseminated histoplasmosis. Here, I review the mechanisms by which inhibition of TNF-alpha may exacerbate infection with H. capsulatum.
Insights
Tumor necrosis factor-alpha (TNF-alpha) is vital for fighting Histoplasma capsulatum. Inhibiting TNF-alpha in humans may worsen histoplasmosis infections.
Area of Science:
- Immunology
- Microbiology
- Infectious Diseases
Background:
- Tumor necrosis factor-alpha (TNF-alpha) plays a crucial role in host defense against pathogenic microbes.
- TNF-alpha is essential for mounting an effective immune response to Histoplasma capsulatum infections in mice.
- Clinical observations link TNF-alpha inhibitor treatments to disseminated histoplasmosis in humans.
Purpose of the Study:
- To review the mechanisms by which TNF-alpha inhibition can exacerbate Histoplasma capsulatum infections.
- To explore the role of TNF-alpha in protective immunity against histoplasmosis.
Main Methods:
- Literature review of studies on TNF-alpha, Histoplasma capsulatum, and histoplasmosis.
- Analysis of experimental data from mouse models of infection.
- Synthesis of clinical reports on disseminated histoplasmosis in patients treated with TNF-alpha inhibitors.
Main Results:
- TNF-alpha is necessary for controlling both primary and secondary Histoplasma capsulatum infections.
- Inhibition of TNF-alpha compromises the host's ability to contain H. capsulatum.
- Evidence suggests a direct link between TNF-alpha blockade and severe, disseminated forms of histoplasmosis.
Conclusions:
- Maintaining adequate TNF-alpha levels is critical for effective host defense against Histoplasma capsulatum.
- Targeting TNF-alpha in patients susceptible to histoplasmosis may increase the risk of disseminated disease.
- Further research is needed to fully elucidate the complex interplay between TNF-alpha and H. capsulatum pathogenesis.
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