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Published on: March 29, 2012
Trichophyton mentagrophytes spores differ from mycelia in their ability to induce pustules and activate complement
Abstract:
To determine whether the morphology of dermatophytes plays a role in the clinical manifestation of dermatophytosis, we isolated spores and mycelia from colonies of killed Trichophyton mentagrophytes and tested their ability to induce gross and microscopic cutaneous changes when applied to guinea pig skin. The skin of normal guinea pigs failed to develop any cutaneous changes after inoculation with either dead spores or mycelia. In contrast, guinea pigs that had recovered from a T. mentagrophytes infection reacted to topically applied spores by producing pustules but failed to develop pustules either grossly or microscopically when inoculated with mycelia. Because differences in the activation of C' and the subsequent generation of the polymorphonuclear leukocyte (PMN) chemoattractant, C5a, might account for our in vivo findings, we measured the amount of C5a activated in vitro when serum was incubated with equivalent amounts of spores or mycelia. Spores consistently activated more C' to C5a than mycelia, although each could activate serum C'. The results support previous studies that show a direct correlation between the clinical manifestations of a dermatophytic infection and the development of immunity against the dermatophyte. Furthermore, the data suggest that a dermatophyte's predominant morphology during an infection may play a critical role in producing pustules by activating C' and chemoattracting PMNs into the fungus-laden stratum corneum.
Insights
Dermatophyte spores, not mycelia, trigger pustules in recovered guinea pigs by activating complement and attracting immune cells. This suggests fungal morphology influences infection severity and immune response in dermatophytosis.
Area of Science:
- Mycology
- Immunology
- Dermatology
Background:
- Dermatophytosis is a fungal infection of the skin, hair, and nails.
- The clinical presentation of dermatophytosis can vary.
- The role of fungal morphology in disease manifestation is not fully understood.
Purpose of the Study:
- To investigate if the morphology of dermatophytes (spores vs. mycelia) influences the clinical signs of dermatophytosis.
- To explore the immunological mechanisms underlying the differential host response to fungal morphology.
Main Methods:
- Isolated spores and mycelia from Trichophyton mentagrophytes.
- Applied fungal elements to the skin of normal and previously infected guinea pigs.
- Assessed gross and microscopic cutaneous changes.
- Measured in vitro complement (C') activation and C5a generation by spores and mycelia.
Main Results:
- Normal guinea pigs showed no reaction to either spores or mycelia.
- Previously infected guinea pigs developed pustules in response to spores but not mycelia.
- Spores activated significantly more complement (C') and generated more C5a than mycelia in vitro.
- Both spores and mycelia could activate complement.
Conclusions:
- The morphology of dermatophytes, specifically spores, plays a critical role in inducing pustule formation during dermatophytosis.
- Spore-induced pustules are mediated by complement activation and subsequent polymorphonuclear leukocyte (PMN) recruitment.
- Immune response and clinical manifestation of dermatophytosis are correlated with the predominant fungal morphology during infection.
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