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Killing of Cryptococcus neoformans strains by human neutrophils and monocytes

M F Miller1, T G Mitchell

  • 1Department of Microbiology and Immunology, Duke University Medical Center, Durham, North Carolina 27710.

Infection and Immunity
|January 1, 1991
PubMed

Insights

Human immune cells, polymorphonuclear leukocytes (PMNs) and monocytes, effectively kill Cryptococcus neoformans strains. Recent clinical isolates showed increased resistance to these immune cells, highlighting strain-specific defenses against fungal infections.

Area of Science:

  • Immunology
  • Mycology
  • Infectious Diseases

Background:

  • Cryptococcus neoformans is an opportunistic fungal pathogen causing serious infections.
  • Human immune cells, including polymorphonuclear leukocytes (PMNs) and monocytes, play a crucial role in combating fungal infections.

Purpose of the Study:

  • To investigate the susceptibility of various Cryptococcus neoformans strains to killing by human PMNs and monocytes.
  • To compare the killing efficacy of PMNs and monocytes against different C. neoformans strains, including clinical isolates.

Main Methods:

  • Isolation of PMNs and monocytes from normal human peripheral blood.
  • Incubation of C. neoformans strains with leukocytes at 37°C in the presence of human serum.
  • Quantitative assessment of yeast cell killing by comparing viable cell counts after 4-hour incubation.

Main Results:

  • Both PMNs and monocytes effectively killed most C. neoformans strains at low effector-to-target ratios.
  • Monocytes showed reduced efficacy against a capsule-free mutant strain.
  • PMNs demonstrated superior killing activity compared to monocytes for the majority of strains tested.
  • Recent clinical isolates exhibited greater resistance to killing by both PMNs and monocytes than previously characterized strains.
  • Killing efficacy was not consistently correlated with capsule size or overall cell dimensions.

Conclusions:

  • Normal PMNs and monocytes are potent in killing C. neoformans strains, even without specific antibodies.
  • These innate immune cells represent a significant defense mechanism against C. neoformans in the peripheral circulation.
  • Interstrain variations in susceptibility and increased resistance in clinical isolates warrant further investigation into fungal defense mechanisms.

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