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Updated: Jul 19, 2026

Macrophage Cholesterol Depletion and Its Effect on the Phagocytosis of Cryptococcus neoformans
Published on: December 19, 2014
Phagosome extrusion and host-cell survival after Cryptococcus neoformans phagocytosis by macrophages
Mauricio Alvarez1, Arturo Casadevall
1Department of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, New York, 10461, USA.
Abstract:
Cryptococcus neoformans (Cn) is an encapsulated yeast that is a facultative intracellular pathogen and a frequent cause of human disease. The interaction of Cn with alveolar macrophages is critical for containing the infection , but Cn can also replicate intracellularly and lyse macrophages . Cn has a unique intracellular pathogenic strategy that involves cytoplasmic accumulation of polysaccharide-containing vesicles and intracellular replication leading to the formation of spacious phagosomes in which multiple cryptococcal cells are present . The Cn intracellular pathogenic strategy in macrophages and amoebas is similar, leading to the proposal that it originated as a mechanism for survival against phagocytic predators in the environment . Here, we report that under certain conditions, including phagosomal maturation, possible actin depolymerization, and homotypic phagosome fusion, Cn can exit the macrophage host through an extrusion of the phagosome, while both the released pathogen and host remain alive and able to propagate. The phenomenon of "phagosomal extrusion" indicates the existence of a previously unrecognized mechanism whereby a fungal pathogen can escape the intracellular confines of mammalian macrophages to continue propagation and, possibly, dissemination.
Insights
Cryptococcus neoformans escapes macrophages via phagosomal extrusion, a novel mechanism allowing pathogen survival and host cell propagation. This discovery reveals a new fungal dissemination strategy.
Area of Science:
- Mycology
- Cell Biology
- Immunology
Background:
- Cryptococcus neoformans (Cn) is an opportunistic fungal pathogen causing human disease.
- Cn infects alveolar macrophages, where it can replicate intracellularly and lyse host cells.
- Cn employs a unique intracellular strategy involving vesicle accumulation and replication within spacious phagosomes.
Purpose of the Study:
- To investigate the mechanism of Cryptococcus neoformans (Cn) exit from host macrophages.
- To identify novel pathways for fungal pathogen dissemination.
Main Methods:
- Observation of Cn-macrophage interactions under specific conditions.
- Analysis of cellular processes like phagosomal maturation, actin dynamics, and phagosome fusion.
- Characterization of the phagosomal extrusion phenomenon.
Main Results:
- Cn can exit macrophages through "phagosomal extrusion," a process where the pathogen is expelled within the phagosome.
- This exit mechanism allows both the pathogen and host cell to remain viable.
- Phagosomal extrusion involves phagosomal maturation, actin depolymerization, and homotypic phagosome fusion.
Conclusions:
- Phagosomal extrusion represents a previously unrecognized mechanism for fungal pathogen escape from mammalian cells.
- This process facilitates pathogen propagation and potential dissemination.
- Understanding phagosomal extrusion offers insights into host-pathogen interactions and fungal pathogenesis.
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