Opportunistic pneumonia caused by E. cuniculi in mice immunosuppressed with cyclophosphamide

Iramirton Figuerêdo Moreira1, Anuska Marcelino Alvares-Saraiva2, Elizabeth Cristina Pérez2

  • 1Programa de Pós-Graduação em Patologia Ambiental e Experimental, Universidade Paulista (UNIP), Rua Dr. Bacelar 902, CEP 04057-000, São Paulo, SP, Brazil; Faculdade de Medicina da Universidade Federal de Alagoas, Campus A. C. Simões Tabuleiro do Martins, CEP 57072-900, Maceió, AL, Brazil.

Immunobiology
|March 12, 2022
PubMed

Insights

Encephalitozoon cuniculi causes lymphocytic interstitial pneumonia in mice. Immunosuppression with cyclophosphamide worsened fungal burden and lung inflammation, highlighting therapeutic targets for opportunistic infections.

Area of Science:

  • Immunology
  • Pathology
  • Mycology

Background:

  • Opportunistic fungal pneumonia poses significant risks to immunocompromised individuals.
  • Microsporidia, such as Encephalitozoon cuniculi, are emerging pathogens in this population.
  • Understanding the host-pathogen interactions is crucial for managing these infections.

Purpose of the Study:

  • To investigate Encephalitozoon cuniculi-induced pneumonia in a mouse model.
  • To assess the impact of cyclophosphamide-induced immunosuppression on the infection.
  • To characterize the immune cell response during microsporidial pneumonia.

Main Methods:

  • C57BL/6 mice were infected with E. cuniculi and treated with cyclophosphamide.
  • Evaluated fungal burden using qPCR and immunohistochemistry.
  • Assessed histopathological lesions, cytokine production (TNF-α), and immune cell phenotypes (CD8+, CD4+, B cells, macrophages) in lung tissue.

Main Results:

  • E. cuniculi infection led to interstitial pneumonia with lymphocytic infiltrate.
  • CD8+ and CD4+ T lymphocytes predominated in the lung infiltrate.
  • Cyclophosphamide treatment increased fungal burden and exacerbated pneumonia.
  • Elevated TNF-α production was observed in infected mice.

Conclusions:

  • E. cuniculi infection causes lymphocytic interstitial pneumonia in mice.
  • Cyclophosphamide exacerbates E. cuniculi pneumonia, increasing fungal load.
  • The findings provide insights into the pathogenesis and immune response of this opportunistic infection.