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Ex Vivo Cytokine Profiling of Cryptococcus neoformans Strains Suggests Strain-Specific Immune Modulation: A
Kennedy Kassaza1, Fredrickson B Wasswa1, Kirsten Nielsen2
1Department of Microbiology and Parasitology, Mbarara University of Science and Technology, Mbarara, UGA.
Cureus
|August 7, 2025
Summary
Cryptococcal meningitis (CM) in HIV patients is deadly. Genetically distinct Cryptococcus neoformans strains trigger different immune responses, impacting disease outcomes.
Area of Science:
- Immunology
- Mycology
- Infectious Diseases
Background:
- Cryptococcal meningitis (CM) is a leading cause of death in people with human immunodeficiency virus (HIV), particularly in sub-Saharan Africa.
- Host immune response and fungal genotype significantly influence CM disease progression and outcomes.
Purpose of the Study:
- To investigate the differential ex vivo cytokine responses induced by two distinct Cryptococcus neoformans strains (H99 and UgCl377) in HIV-positive and HIV-negative adults.
- To explore the impact of fungal genetic variation on host immune activation in the context of cryptococcal infections.
Main Methods:
- Ex vivo cytokine profiling of peripheral blood from adults stimulated with heat-inactivated whole-cell antigens from C. neoformans strains H99 and UgCl377.
- Luminex-based quantification of various cytokines, including CD40-ligand, IL-10, IL-12p70, IL-13, IL-15, and IL-33.
Main Results:
- The reference strain H99 induced significantly higher levels of pro-inflammatory, Th2, and regulatory cytokines (CD40-ligand, IL-10, IL-12p70, IL-13, IL-15, IL-33), indicating robust immune activation.
- The genetically distinct clinical strain UgCl377 elicited a comparatively dampened cytokine profile.
- Differential cytokine responses were observed between the two C. neoformans strains, suggesting strain-specific immune modulation.
Conclusions:
- Whole-cell antigens from genetically distinct C. neoformans strains induce differential host cytokine responses.
- These findings highlight the importance of fungal genotype in shaping the immune landscape during cryptococcal meningitis.
- Provides a basis for future studies on specific fungal components and their role in immune evasion or activation.
Keywords:
cnag_04922cryptococcal meningitiscryptococcosiscryptococcus neoformanscytokine responsegene alleleshost-pathogen interactionpro-inflammatory cytokinessingle nucleotide polymorphismtnf-alpha
