Cryptococcal urease promotes the accumulation of immature dendritic cells and a non-protective T2 immune response

John J Osterholzer1, Rishi Surana, Jami E Milam

  • 1Veterans Affairs Ann Arbor Health System, Ann Arbor, 2215 Fuller Rd., Ann Arbor, MI 48105, USA. olszewsm@umich.edu

Insights

Cryptococcus neoformans urease increases fungal burden in the lungs, promoting a strong but non-protective T2 immune response and immature dendritic cell accumulation. This highlights urease as a pulmonary virulence factor.

Area of Science:

  • Immunology
  • Mycology
  • Infectious Diseases

Background:

  • Urease is a key virulence factor for Cryptococcus neoformans, often causing lethal meningitis.
  • The role of urease in the lung, the primary site of fungal infection, remains unclear.
  • Cryptococcus neoformans is a significant human pathogen, particularly in immunocompromised individuals.

Purpose of the Study:

  • To investigate the impact of Cryptococcus neoformans urease on fungal clearance and immune response within the murine lung.
  • To determine if urease contributes to virulence in the pulmonary environment.
  • To characterize the specific immune pathways modulated by urease during pulmonary cryptococcosis.

Main Methods:

  • Utilized a murine infection model with urease-producing and urease-deficient Cryptococcus neoformans strains (H99).
  • Quantified fungal burden in the lungs at various time points post-infection.
  • Analyzed immune cell populations (eosinophils, macrophages, dendritic cells) and cytokine profiles (T2 cytokines, IgE) in lung tissue and associated lymph nodes.

Main Results:

  • Mice infected with urease-producing strains showed a 100-fold increase in fungal burden compared to those with urease-deficient strains.
  • Pulmonary infection with urease-producing C. neoformans induced a highly polarized T2 immune response, marked by increased eosinophils, serum IgE, and T2 cytokines (IL-4, IL-13).
  • Increased numbers of alternatively activated macrophages and immature dendritic cells were observed in the lungs and lung-associated lymph nodes, respectively.

Conclusions:

  • Cryptococcal urease acts as a pulmonary virulence factor, significantly increasing fungal burden.
  • Urease promotes the accumulation of immature dendritic cells and drives a potent but non-protective T2 immune response in the lung.
  • These findings offer novel insights into how microbial factors contribute to the immunopathology of invasive fungal infections.

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