1
|
Gouveia-Eufrasio L, de Freitas GJC, Costa MC, Peres-Emidio EC, Carmo PHF, Rodrigues JGM, de Rezende MC, Rodrigues VF, de Brito CB, Miranda GS, de Lima PA, da Silva LMV, Oliveira JBS, da Paixão TA, da Glória de Souza D, Fagundes CT, Peres NTDA, Negrão-Correa DA, Santos DA. The Th2 Response and Alternative Activation of Macrophages Triggered by Strongyloides venezuelensis Is Linked to Increased Morbidity and Mortality Due to Cryptococcosis in Mice. J Fungi (Basel) 2023; 9:968. [PMID: 37888224 PMCID: PMC10607621 DOI: 10.3390/jof9100968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Revised: 09/21/2023] [Accepted: 09/22/2023] [Indexed: 10/28/2023] Open
Abstract
Cryptococcosis is a systemic mycosis that causes pneumonia and meningoencephalitis. Strongyloidiasis is a chronic gastrointestinal infection caused by parasites of the genus Strongyloides. Cryptococcosis and strongyloidiasis affect the lungs and are more prevalent in the same world regions, i.e., Africa and tropical countries such as Brazil. It is undeniable that those coincidences may lead to the occurrence of coinfections. However, there are no studies focused on the interaction between Cryptococcus spp. and Strongyloides spp. In this work, we aimed to investigate the interaction between Strongyloides venezuelensis (Sv) and Cryptococcus gattii (Cg) in a murine coinfection model. Murine macrophage exposure to Sv antigens reduced their ability to engulf Cg and produce reactive oxygen species, increasing the ability of fungal growth intracellularly. We then infected mice with both pathogens. Sv infection skewed the host's response to fungal infection, increasing lethality in a murine coinfection model. In addition to increased NO levels and arginase activity, coinfected mice presented a classic Th2 anti-Sv response: eosinophilia, higher levels of alternate activated macrophages (M2), increased concentrations of CCL24 and IL-4, and lower levels of IL-1β. This milieu favored fungal growth in the lungs with prominent translocation to the brain, increasing the host's tissue damage. In conclusion, our data shows that primary Sv infection promotes Th2 bias of the pulmonary response to Cg-infection and worsens its pathological outcomes.
Collapse
Affiliation(s)
- Ludmila Gouveia-Eufrasio
- Departamento de Microbiologia, Laboratório de Micologia, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil; (L.G.-E.); (N.T.d.A.P.)
| | - Gustavo José Cota de Freitas
- Departamento de Microbiologia, Laboratório de Micologia, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil; (L.G.-E.); (N.T.d.A.P.)
| | - Marliete Carvalho Costa
- Departamento de Microbiologia, Laboratório de Micologia, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil; (L.G.-E.); (N.T.d.A.P.)
| | - Eluzia Castro Peres-Emidio
- Departamento de Microbiologia, Laboratório de Micologia, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil; (L.G.-E.); (N.T.d.A.P.)
| | - Paulo Henrique Fonseca Carmo
- Departamento de Microbiologia, Laboratório de Micologia, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil; (L.G.-E.); (N.T.d.A.P.)
| | - João Gustavo Mendes Rodrigues
- Departamento de Parasitologia, Laboratório de Esquistossomose, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil (D.A.N.-C.)
| | - Michelle Carvalho de Rezende
- Departamento de Parasitologia, Laboratório de Esquistossomose, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil (D.A.N.-C.)
| | - Vanessa Fernandes Rodrigues
- Departamento de Parasitologia, Laboratório de Esquistossomose, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil (D.A.N.-C.)
| | - Camila Bernardo de Brito
- Departamento de Microbiologia, Laboratório de Interação Microrganismo-Hospedeiro, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil (D.d.G.d.S.); (C.T.F.)
| | - Guilherme Silva Miranda
- Departamento de Parasitologia, Laboratório de Esquistossomose, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil (D.A.N.-C.)
| | - Pâmela Aparecida de Lima
- Departamento de Patologia, Laboratório de Patologia Celular e Molecular, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil (T.A.d.P.)
| | - Lívia Mara Vitorino da Silva
- Departamento de Microbiologia, Laboratório de Micologia, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil; (L.G.-E.); (N.T.d.A.P.)
| | - Jefferson Bruno Soares Oliveira
- Departamento de Patologia, Laboratório de Patologia Celular e Molecular, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil (T.A.d.P.)
| | - Tatiane Alves da Paixão
- Departamento de Patologia, Laboratório de Patologia Celular e Molecular, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil (T.A.d.P.)
| | - Daniele da Glória de Souza
- Departamento de Microbiologia, Laboratório de Interação Microrganismo-Hospedeiro, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil (D.d.G.d.S.); (C.T.F.)
| | - Caio Tavares Fagundes
- Departamento de Microbiologia, Laboratório de Interação Microrganismo-Hospedeiro, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil (D.d.G.d.S.); (C.T.F.)
| | - Nalu Teixeira de Aguiar Peres
- Departamento de Microbiologia, Laboratório de Micologia, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil; (L.G.-E.); (N.T.d.A.P.)
| | - Deborah Aparecida Negrão-Correa
- Departamento de Parasitologia, Laboratório de Esquistossomose, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil (D.A.N.-C.)
| | - Daniel Assis Santos
- Departamento de Microbiologia, Laboratório de Micologia, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil; (L.G.-E.); (N.T.d.A.P.)
| |
Collapse
|
2
|
Zubair SM, Hussain MZH, Zubairi ABS. Eosinophilic lung disease as a sequela of MSSA pneumonia. BMJ Case Rep 2021; 14:14/3/e239304. [PMID: 33789860 PMCID: PMC8016071 DOI: 10.1136/bcr-2020-239304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Eosinophilic lung diseases are a rare group of lung disorders with multiple known and unknown aetiologies and the diagnosis is often challenging. We present a case of a young man who was admitted with pneumonia due to methicillin-sensitive Staphylococcus aureus and was discharged on antibiotics. He presented to the emergency department approximately 2 weeks after discharge with high-grade fever, cough and shortness of breath associated with serum and bronchoalveolar lavage eosinophilia. He was then treated with steroids with complete resolution of disease process.
Collapse
|
3
|
Yokoyama T, Kadowaki M, Yoshida M, Suzuki K, Komori M, Iwanaga T. Disseminated Cryptococcosis with Marked Eosinophilia in a Postpartum Woman. Intern Med 2018; 57:135-139. [PMID: 29021482 PMCID: PMC5799072 DOI: 10.2169/internalmedicine.9247-17] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Disseminated cryptococcosis usually develops in immunosuppressed patients. A 33-year-old postpartum woman developed disseminated cryptococcosis with marked eosinophilia. She presented with a cough and a week-long fever. A computed tomography scan showed multiple pulmonary nodules randomly distributed. Eosinophils were observed to have increased in number in both her peripheral blood and bronchoalveolar lavage fluid. A transbronchial lung biopsy and cerebrospinal fluid specimens revealed findings consistent with cryptococcal infection. Disseminated cryptococcosis can present with marked eosinophilia of the peripheral blood and lung tissues. Additionally, the postpartum immune status may sometimes be involved in the development of opportunistic infections in previously healthy women.
Collapse
Affiliation(s)
- Tetsuya Yokoyama
- Department of Respiratory Medicine, National Hospital Organization Fukuoka Hospital, Japan
| | - Masako Kadowaki
- Department of Respiratory Medicine, National Hospital Organization Fukuoka Hospital, Japan
| | - Makoto Yoshida
- Department of Respiratory Medicine, National Hospital Organization Fukuoka Hospital, Japan
| | - Kunihiro Suzuki
- Department of Respiratory Medicine, National Hospital Organization Fukuoka Hospital, Japan
| | - Masashi Komori
- Department of Respiratory Medicine, National Hospital Organization Fukuoka Hospital, Japan
| | - Tomoaki Iwanaga
- Department of Respiratory Medicine, National Hospital Organization Fukuoka Hospital, Japan
| |
Collapse
|
4
|
Gao LW, Jiao AX, Wu XR, Zhao SY, Ma Y, Liu G, Yin J, Xu BP, Shen KL. Clinical characteristics of disseminated cryptococcosis in previously healthy children in China. BMC Infect Dis 2017; 17:359. [PMID: 28532447 PMCID: PMC5440943 DOI: 10.1186/s12879-017-2450-5] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2016] [Accepted: 05/08/2017] [Indexed: 12/26/2022] Open
Abstract
Background Disseminated cryptococcosis is a rare and fatal disease, and limited data exist regarding it in children. This study aimed to investigate the clinical characteristics of disseminated cryptococcosis in previously healthy children in China. Methods Hospitalized patients with disseminated cryptococcosis were enrolled during January 1996 to December 2015 in Beijing Children’s Hospital, Capital Medical University, China. Data on clinical manifestations, laboratory tests, treatment, and prognosis were evaluated. Results A total of 52 pediatric patients with no underlying disease were enrolled, including 38 boys and 14 girls. Only 10 cases had a history of exposure to pigeon droppings. Fever, cough, and hepatomegaly were 3 main manifestations of disseminated cryptococcosis. However, headache was more common in patients with central nervous system (CNS) invasion than in patients with non-CNS invasion (P < 0.05). Lung (96.2%, 50/52) was the most commonly invaded organ, but only 9.6% (5/52) of patients had respiratory signs. The most common findings on chest imaging were hilar or mediastinal lymphadenopathy (46.8%, 22/47), and nodules (44.7%, 21/47), including small nodules in a scattered distribution (57.1%, 12/21) or miliary distribution (42.9%, 9/25), especially localized in subpleural area. Subsequent invasion occurred in the CNS, abdomen lymph nodes, liver, spleen, peripheral lymph nodes, and skin. In all patients, 42.3% (22/52) and 51.9% (27/52) had elevated eosinophils or IgE, respectively. The positive rate of serum cryptococcal antigen was higher, especially in patients with CNS invasion (approximately 83.3%), than with other primary methods used for pathogen detection, including cerebrospinal fluid (CSF) cryptococcal antigen, cultures of blood, bone marrow, or CSF, and CSF ink staining. The overall mortality rate of pediatric patients in our study was 11.5% (6/52). Some cases had long-term sequela, including hydrocephalus, cirrhosis, or blindness. Conclusions Disseminated cryptococcosis can occur in previously healthy or immunocompetent children in China. Lung and CNS were most commonly invaded by this disease. Furthermore, most cases usually showed no obvious or specific symptoms or signs, and therefore pediatricians should pay more careful attention to identify this disease.
Collapse
Affiliation(s)
- Li-Wei Gao
- Respiratory Department, Beijing Children's Hospital, Capital Medical University, Beijing, China.,China National Clinical Research Center for Respiratory Diseases, Beijing, China
| | - An-Xia Jiao
- Respiratory Department, Beijing Children's Hospital, Capital Medical University, Beijing, China.,China National Clinical Research Center for Respiratory Diseases, Beijing, China
| | - Xi-Rong Wu
- Respiratory Department, Beijing Children's Hospital, Capital Medical University, Beijing, China.,China National Clinical Research Center for Respiratory Diseases, Beijing, China
| | - Shun-Ying Zhao
- Respiratory Department, Beijing Children's Hospital, Capital Medical University, Beijing, China
| | - Yun Ma
- Respiratory Department, Beijing Children's Hospital, Capital Medical University, Beijing, China
| | - Gang Liu
- Department of Infectious Diseases, Beijing Children's Hospital, Capital Medical University, Beijing, China
| | - Ju Yin
- Respiratory Department, Beijing Children's Hospital, Capital Medical University, Beijing, China.,China National Clinical Research Center for Respiratory Diseases, Beijing, China
| | - Bao-Ping Xu
- Respiratory Department, Beijing Children's Hospital, Capital Medical University, Beijing, China. .,China National Clinical Research Center for Respiratory Diseases, Beijing, China.
| | - Kun-Ling Shen
- Respiratory Department, Beijing Children's Hospital, Capital Medical University, Beijing, China.,China National Clinical Research Center for Respiratory Diseases, Beijing, China
| |
Collapse
|
5
|
Chen Z, Chen X, Xu Y, Xiong P, Fang M, Tan Z, Gong F, Zheng F. Collagenase digestion down-regulates the density of CD27 on lymphocytes. J Immunol Methods 2014; 413:57-61. [PMID: 25066632 DOI: 10.1016/j.jim.2014.06.017] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2014] [Revised: 06/11/2014] [Accepted: 06/30/2014] [Indexed: 01/21/2023]
Abstract
Collagenases are widely used for tissue digestion in experiments due to their potent hydrolysis of connective tissue. CD27, also known as tumor necrosis factor receptor superfamily 7 (TNFRSF7), is limited to be expressed on the cells of the lymphoid lineage. In our preliminary research, we found that CD27 on NK cells was almost disappeared with the digestion of type I collagenase for 90min. This phenomenon suggests that the process of tissue digestion may affect the density of CD27 on cells. In order to verify this, the lungs of mice were digested with types I and IV collagenase or grinded, respectively. The percentage of CD27(+) cells and the density of CD27 on cells were assayed by flow cytometry. The data presented that the percentage of CD27(+) cells and the density of CD27 on lymphocytes gradually decreased with the time of digestion with type I or IV collagenase. We also detected that the density of CD11b on NK cells was not affected by collagenase digestion. Collectively, the findings of the present study suggest that the collagenase digestion has a selective effect on the density of molecules on cells.
Collapse
Affiliation(s)
- Zhangbo Chen
- Department of Immunology, School of Basic Medicine, Tongji Medical College, HuaZhong University of Science and Technology, 430030 Wuhan, China
| | - Xiangyu Chen
- Department of Immunology, School of Basic Medicine, Tongji Medical College, HuaZhong University of Science and Technology, 430030 Wuhan, China
| | - Yong Xu
- Department of Immunology, School of Basic Medicine, Tongji Medical College, HuaZhong University of Science and Technology, 430030 Wuhan, China
| | - Ping Xiong
- Department of Immunology, School of Basic Medicine, Tongji Medical College, HuaZhong University of Science and Technology, 430030 Wuhan, China
| | - Min Fang
- Department of Immunology, School of Basic Medicine, Tongji Medical College, HuaZhong University of Science and Technology, 430030 Wuhan, China
| | - Zheng Tan
- Department of Immunology, School of Basic Medicine, Tongji Medical College, HuaZhong University of Science and Technology, 430030 Wuhan, China
| | - Feili Gong
- Department of Immunology, School of Basic Medicine, Tongji Medical College, HuaZhong University of Science and Technology, 430030 Wuhan, China
| | - Fang Zheng
- Department of Immunology, School of Basic Medicine, Tongji Medical College, HuaZhong University of Science and Technology, 430030 Wuhan, China.
| |
Collapse
|