Effect of CD40 ligand on the course of murine histoplasmosis

L J Wheat1, M Durkin, C Schnizlein-Bick

  • 1Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA. jwheat@miravista.com

Medical Mycology
|December 5, 2002
PubMed

Insights

CD40 ligand (CD40L) showed minimal impact on recovery from histoplasmosis in mice. This study found CD40L did not improve fungal clearance or synergize with amphotericin B treatment.

Area of Science:

  • Immunology
  • Mycology
  • Infectious Diseases

Background:

  • CD40 ligand (CD40L)-CD40 interaction is crucial for T-cell mediated immunity.
  • Histoplasmosis is a fungal infection that can cause severe illness.

Purpose of the Study:

  • To investigate the role of CD40L in host recovery from histoplasmosis.
  • To evaluate CD40L's efficacy alone and in combination with amphotericin B in a murine model.

Main Methods:

  • Mice were infected intratracheally with Histoplasma capsulatum.
  • Treatment with CD40L and/or amphotericin B was administered at various time points.
  • Fungal burden in lungs and spleen, and cytokine levels (IFN-gamma, IL-12, IL-10) were assessed.

Main Results:

  • CD40L treatment alone resulted in less than a one-log reduction in fungal burden when initiated pre-infection.
  • CD40L did not show synergistic effects with low-dose amphotericin B in CD4-depleted mice.
  • Neither CD40L nor amphotericin B, alone or combined, effectively lowered fungal burden in a more virulent infection model.

Conclusions:

  • CD40L demonstrated minimal to no beneficial effect on the course of histoplasmosis in this murine model.
  • The findings suggest CD40L is not a viable therapeutic strategy for histoplasmosis, even with antifungal treatment.

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