Complex Roles of Annexin A2 in Host Blood-Brain Barrier Invasion by Cryptococcus neoformans

Wei Fang1,2, Zhen-Zong Fa2, Qun Xie3

  • 1PLA Key Laboratory of Mycosis, Department of Dermatology and Venereology, Changzheng Hospital, Shanghai, China.

Abstract

Insights

Annexin A2 (AnxA2) has dual roles in fungal brain infections. It promotes fungal cell traversal via S100A10 but inhibits fungal adhesion through cofilin, impacting cryptococcal meningoencephalitis development.

Area of Science:

  • Neuroscience
  • Infectious Diseases
  • Cell Biology

Background:

  • Fungal traversal of brain microvascular endothelial cells (BMECs) is critical for cryptococcal meningoencephalitis.
  • Annexin A2 (AnxA2) is a signaling protein involved in membrane trafficking and endocytosis.

Purpose of the Study:

  • To elucidate the mechanism of AnxA2 in cryptococcal traversal of BMECs.
  • To investigate the distinct roles of AnxA2 in fungal adhesion and transcytosis.

Main Methods:

  • Upregulation of AnxA2 in mouse BMECs upon Cryptococcus neoformans infection.
  • Utilized anti-AnxA2 antibody blockade and AnxA2/S100A10 gene suppression.
  • Analyzed fungal adhesion, association, and transcytosis efficiency.
  • Investigated AnxA2 phosphorylation and downstream cofilin activity.

Main Results:

  • AnxA2 blockade reduced fungal transcytosis but not adhesion.
  • AnxA2 depletion increased fungal association but did not affect transcytosis.
  • AnxA2 suppression reduced its partner S100A10, impairing fungal transcytosis.
  • AnxA2 dephosphorylation at Tyr23 and cofilin dephosphorylation were crucial for fungal association.

Conclusions:

  • AnxA2 exhibits complex roles in C. neoformans traversal across BMECs.
  • AnxA2 promotes transcytosis via S100A10 and inhibits adhesion possibly via cofilin.
  • Understanding AnxA2's dual function is key for targeting cryptococcal meningoencephalitis.