Iron overload is associated with increased susceptibility to pulmonary Pythium insidiosum infection in mice

Donglin Zhu1, Ling Yan2, Jian Sun3

  • 1Department of Clinical Laboratory, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.

Abstract

Insights

This study developed a new mouse model for pulmonary Pythium insidiosum infection. Iron overload was linked to suppressed Th1 immunity and increased susceptibility, suggesting a role in severe lung disease.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Pathology

Background:

  • Pythium insidiosum causes high-mortality infections, particularly in the lungs, with unclear mechanisms.
  • Existing animal models fail to fully replicate human pulmonary Pythium insidiosum infections.
  • Immune dysregulation and iron overload are suspected factors in disease pathogenesis.

Purpose of the Study:

  • Establish a novel murine model for pulmonary Pythium insidiosum infection.
  • Investigate the role of the Th1/Th2 immune balance in infection progression.
  • Explore the impact of iron overload and immune modulators on infection severity.

Main Methods:

  • BALB/c mice were preconditioned with iron dextran (ID) and/or cyclophosphamide (CTX) and lipopolysaccharide (LPS).
  • Mice were inoculated intratracheally with Pythium insidiosum hyphae.
  • Evaluated clinical symptoms, inflammatory markers, histopathology, pathogen burden, and Th1/Th2 cytokine profiles.

Main Results:

  • The ID+CTX group showed severe infection, significant weight loss, and increased lung injury and pathogen burden.
  • This group exhibited decreased leukocytes, elevated ferritin, and reduced Th1 cytokines (IFN-γ, TNF-α).
  • A trend towards Th2 response shift was observed, correlating with Th1 suppression.

Conclusions:

  • A new murine model for pulmonary Pythium insidiosum infection was successfully established using ID+CTX preconditioning.
  • Iron overload appears to suppress Th1 immunity, leading to a relative Th2 shift and increased susceptibility.
  • Findings suggest iron overload contributes to severe pulmonary Pythium insidiosum infection, warranting further investigation.