Anti-fungal T cell responses in the lung and modulation by the gut-lung axis

Alexander Scheffold1, Petra Bacher2

  • 1Institute of Immunology, Christian-Albrechts Universität zu Kiel & Universitätsklinik Schleswig-Holstein, Kiel, Germany.

Insights

The gut microbiota influences lung immunity, affecting responses to airborne fungi like Aspergillus. Cross-reactivity between gut microbes and fungi can trigger inflammatory lung diseases.

Area of Science:

  • Immunology
  • Microbiology
  • Respiratory Medicine

Background:

  • The lung is crucial for immune responses to environmental factors, influenced by gut microbiota.
  • Airborne fungi cause lung diseases, with varying immune responses depending on the species.
  • Regulatory T cells and Th17 cells play roles in lung immunity and inflammation.

Purpose of the Study:

  • To review fungus-specific T cell responses in the lung.
  • To discuss the modulation of lung immunity by the gut-lung axis.
  • To explore cross-reactivity between microbiota and fungi in lung inflammation.

Main Methods:

  • Literature review of existing studies on T cell responses to fungi.
  • Analysis of mechanisms linking gut microbiota to lung immunity.
  • Discussion of cross-reactivity in fungal-associated lung diseases.

Main Results:

  • Aspergillus-specific regulatory T cells are key for immune tolerance in the lung.
  • Loss of tolerance is linked to immune pathologies.
  • Pathogenic Th17 cells in Aspergillus-associated disease may arise from Candida albicans cross-reactivity.

Conclusions:

  • Fungus-specific T cell responses in the lung are modulated by the gut-lung axis.
  • Microbiota-fungi cross-reactivity significantly impacts adaptive immune responses in the lung.
  • Understanding these interactions is vital for managing lung inflammatory diseases.