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PDE4B deficiency aids macrophage differentiation and contributes to Cryptococcus neoformans brain infection
Ying Gong1,2, Ting Wang1,2, Xin Chen1,2
1Department of Immunology, National Vaccine Innovation Platform, School of Basic Medical Sciences, Nanjing Medical University, Nanjing, China.
Plos Pathogens
|March 10, 2026
Summary
Phosphodiesterase 4B (PDE4B) in macrophages acts as a "Trojan horse" regulator in cryptococcal meningitis. Inhibiting PDE4B aids fungal brain invasion, while activating it reduces fungal burden, suggesting PDE4B as a therapeutic target.
Area of Science:
- * Neuroimmunology
- * Infectious Diseases
- * Cellular and Molecular Biology
Background:
- * Cryptococcal meningitis is a life-threatening complication of Cryptococcus neoformans (C. neoformans) infection.
- * Macrophages are implicated as
Purpose of the Study:
- * To elucidate the mechanisms of macrophage-mediated C. neoformans brain invasion.
- * To identify regulators of macrophage function in cryptococcal meningitis.
- * To explore phosphodiesterase 4B (PDE4B) as a potential therapeutic target.
Main Methods:
- * Single-cell RNA sequencing (scRNA-Seq) of immune cells from a murine model of cryptococcal meningitis.
- * Bioinformatics analysis to identify key regulatory molecules.
- * In vitro and in vivo experiments assessing the role of PDE4B in macrophage function and fungal dissemination.
Main Results:
- * PDE4B expression in macrophages is associated with C. neoformans infection, with a paradoxical decrease by virulent strains.
- * PDE4B inhibition enhances macrophage markers (Arg1, CXCR4, CCR7) and promotes C. neoformans-infected macrophage transmigration across the blood-brain barrier (BBB) in vitro.
- * PDE4B inhibition or knockout increases fungal burden in the brain, while PDE4B activation reduces it, even after infection onset.
Conclusions:
- * PDE4B is a critical regulator of macrophage programming during C. neoformans infection.
- * The study reveals a macrophage-mediated dissemination mechanism contributing to cryptococcal meningitis.
- * PDE4B represents a promising therapeutic target for cryptococcal meningitis.

