Multiple roles for hypoxia inducible factor 1-alpha in airway epithelial cells during mucormycosis

Povilas Kavaliauskas1, Yiyou Gu2, Naushaba Hasin3,4

  • 1Department of Microbiology and Immunology, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.

Nature Communications
|June 20, 2024
PubMed

Insights

Hypoxia-inducible factor 1-alpha (HIF1α) has dual roles in pulmonary mucormycosis. It aids fungal invasion but also promotes the host immune response, suggesting therapeutic targeting.

Area of Science:

  • Infectious Diseases
  • Cell Biology
  • Immunology

Background:

  • Pulmonary mucormycosis is a severe fungal infection initiated by inhaled spores.
  • Airway epithelial cells are the primary site of initial fungal adherence, germination, and invasion.
  • The role of hypoxia-inducible factor 1-alpha (HIF1α) in this process is not fully understood.

Purpose of the Study:

  • To investigate the role of HIF1α in airway epithelial cells during Mucorales infection.
  • To elucidate the dual functions of HIF1α in host-pathogen interactions during pulmonary mucormycosis.

Main Methods:

  • In vitro infection models using airway epithelial cells and Rhizopus delemar.
  • Analysis of HIF1α protein accumulation and gene expression.
  • Transcriptome analysis to identify differentially expressed genes.
  • Pharmacological inhibition of HIF1α in a mouse model of pulmonary mucormycosis.

Main Results:

  • Mucorales infection activates HIF1α signaling in airway epithelial cells.
  • HIF1α inhibition significantly reduced fungal invasion of epithelial cells.
  • HIF1α inhibition decreased the expression of pro-inflammatory genes induced by infection.
  • Pharmacological inhibition of HIF1α improved survival in a mouse model without reducing fungal load.

Conclusions:

  • HIF1α plays opposing roles in pulmonary mucormycosis: facilitating fungal invasion and promoting host innate immunity.
  • Targeting HIF1α may offer a therapeutic strategy for pulmonary mucormycosis by modulating host response.

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