TLR Signaling Rescues Fungicidal Activity in Syk-Deficient Neutrophils

Adam L Viens1, Kyle D Timmer2, Natalie J Alexander2

  • 1Division of Infectious Diseases, Massachusetts General Hospital, Boston, MA; mkmansour@mgh.harvard.edu aviens1@mgh.harvard.edu.

Insights

Toll-like receptor (TLR) agonist signaling can partially restore neutrophil function against Candida infections, even when key kinases like spleen tyrosine kinase (Syk) are deficient. This offers a potential therapeutic avenue for patients with impaired immune responses.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Cell Biology

Background:

  • Impaired neutrophil function increases susceptibility to life-threatening fungal infections.
  • Iatrogenic immune modulators can cause neutrophil dysfunction by inhibiting critical kinases, such as spleen tyrosine kinase (Syk).

Purpose of the Study:

  • To investigate if Toll-like receptor (TLR) agonist signaling can augment the function of Syk-deficient neutrophils against Candida albicans.
  • To explore the potential of TLR agonists as an alternative pathway to restore neutrophil effector functions in the context of kinase inhibition.

Main Methods:

  • Utilized conditionally immortalized mouse neutrophil progenitors and primary human neutrophils.
  • Investigated the effects of lipopolysaccharide (LPS), a TLR agonist, on Syk-deficient neutrophils and neutrophils with pharmacologic Syk/Bruton's tyrosine kinase (Btk) inhibition.
  • Assessed neutrophil functions including phagocytosis, degranulation, reactive oxygen species (ROS) production, and neutrophil swarming.
  • Conducted in vivo studies using neutropenic mice reconstituted with wild-type or Syk-deficient neutrophils challenged with C. albicans.

Main Results:

  • LPS priming partially rescued fungicidal activity, phagocytosis, degranulation, and swarming in Syk-deficient mouse neutrophils against C. albicans, but not ROS production.
  • LPS priming restored fungicidal activity in human neutrophils with pharmacologic inhibition of Syk and Btk.
  • In vivo, LPS enhanced wild-type neutrophil homing to fungal infection sites, but Syk-deficient neutrophils showed poor in vivo persistence.

Conclusions:

  • TLR signaling represents an alternative activation pathway capable of partially restoring neutrophil effector functions against Candida, independent of Syk.
  • While TLR agonists can enhance certain neutrophil functions, Syk remains crucial for neutrophil persistence in vivo during fungal infections.

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