Galleria mellonella Model of Coccidioidomycosis for Drug Susceptibility Tests and Virulence Factor Identification

Coccidioidomycosis (CM) can manifest as respiratory and disseminated diseases that are caused by dimorphic fungal pathogens, such as Coccidioides species. The inhaled arthroconidia generated during the saprobic growth phase convert into multinucleated spherules in the lungs to complete the parasitic lifecycle. Research on coccidioidal virulence and pathogenesis primarily employs murine models typically associated with low lethal doses (LD100 < 100 spores). However, the Galleria model has recently garnered attention due to its immune system bearing both structural and functional similarities to the innate system of mammals. Our findings indicate that Coccidioides posadasii can convert and complete the parasitic cycle within the hemocoel of the Galleria larva. In Galleria, the LD100 is between 0.5 and 1.0 × 106 viable spores for the clinical isolate Coccidioides posadasii C735. Furthermore, we demonstrated the suitability of this model for in vivo antifungal susceptibility tests to validate the bioreactivity of newly discovered antifungals against Coccidioides. Additionally, we utilized this larva model to screen a Coccidioides posadasii mutant library showing attenuated virulence. Similarly, the identified attenuated coccidioidal mutants displayed a loss of virulence in a commonly used murine model of coccidioidomycosis. In this study, we demonstrated that Galleria larvae can be applied as a model for studying Coccidioides infection.

A Recombinant Multivalent Vaccine (rCpa1) Induces Protection for C57BL/6 and HLA Transgenic Mice against Pulmonary Infection with Both Species of Coccidioides

Coccidioidomycosis is caused by Coccidioides posadasii (Cp) and Coccidioides immitis (Ci), which have a 4-5% difference in their genomic sequences. There is an urgent need to develop a human vaccine against both species. A previously created recombinant antigen (rCpa1) that contains multiple peptides derived from Cp isolate C735 is protective against the autologous isolate. The focus of this study is to evaluate cross-protective efficacy and immune correlates by the rCpa1-based vaccine against both species of Coccidioides. DNA sequence analyses of the homologous genes for the rCpa1 antigen were conducted for 39 and 17 clinical isolates of Cp and Ci, respectively. Protective efficacy and vaccine-induced immunity were evaluated for both C57BL/6 and human HLA-DR4 transgenic mice against five highly virulent isolates of Cp and Ci. There are total of seven amino acid substitutions in the rCpa1 antigen between Cp and Ci. Both C57BL/6 and HLA-DR4 mice that were vaccinated with an rCpa1 vaccine had a significant reduction of fungal burden and increased numbers of IFN-γ- and IL-17-producing CD4+ T cells in the first 2 weeks post challenge. These data suggest that rCpa1 has cross-protection activity against Cp and Ci pulmonary infection through activation of early Th1 and Th17 responses.

CARD9-Associated Dectin-1 and Dectin-2 Are Required for Protective Immunity of a Multivalent Vaccine against Coccidioides posadasii Infection

Coccidioides species are fungal pathogens that can cause a widely varied clinical manifestation from mild pulmonary symptom to disseminated, life-threatening disease. We have previously created a subunit vaccine by encapsulating a recombinant coccidioidal Ag (rCpa1) in glucan-chitin particles (GCPs) as an adjuvant-delivery system. The GCP-rCpa1 vaccine has shown to elicit a mixed Th1 and Th17 response and confers protection against pulmonary coccidioidomycosis in mice. In this study, we further delineated the vaccine-induced protective mechanisms. Depletion of IL-17A in vaccinated C57BL/6 mice prior to challenge abrogated the protective efficacy of GCP-rCpa1 vaccine. Global transcriptome and Ingenuity Pathway Analysis of murine bone marrow-derived macrophages after exposure to this vaccine revealed the upregulation of proinflammatory cytokines (TNF-α, IL-6, and IL-1β) that are associated with activation of C-type lectin receptors (CLR) Dectin-1- and Dectin-2-mediated CARD9 signaling pathway. The GCP formulation of rCpa1 bound soluble Dectin-1 and Dectin-2 and triggered ITAM signaling of corresponding CLR reporter cells. Furthermore, macrophages that were isolated from Dectin-1 -/-, Dectin-2 -/-, and CARD9 -/- mice significantly reduced production of inflammatory cytokines in response to the GCP-rCpa1 vaccine compared with those of wild-type mice. The GCP-rCpa1 vaccine had significantly reduced protective efficacy in Dectin-1 -/-, Dectin-2 -/-, and CARD9 -/- mice that showed decreased acquisition of Th cells in Coccidioides-infected lungs compared with vaccinated wild-type mice, especially Th17 cells. Collectively, we conclude that the GCP-rCpa1 vaccine stimulates a robust Th17 immunity against Coccidioides infection through activation of the CARD9-associated Dectin-1 and Dectin-2 signal pathways.

CARD9 Is Required for Classical Macrophage Activation and the Induction of Protective Immunity against Pulmonary Cryptococcosis

Caspase recruitment domain-containing protein 9 (CARD9) is a critical adaptor molecule triggered by the interaction of C-type lectin receptors (CLRs) with carbohydrate motifs found in fungi. Consequently, clinical and animal studies indicate that CARD9 is an important regulator of protective immunity against fungal pathogens. Previous studies suggest that CARD9 is important for the induction of protection against Cryptococcus neoformans, an opportunistic fungal pathogen that causes life-threatening infections of the central nervous system in immunocompromised patients. However, the effect of CARD9 deficiency on the induction of protective immune responses against C. neoformans is unknown. Immunization with a C. neoformans mutant that overexpresses the transcription factor zinc finger 2, denoted LW10, results in protection against an otherwise lethal challenge with wild-type (WT) C. neoformans Our results showed that CARD9 is essential for the induction of vaccine-mediated immunity against C. neoformans infection. We observed significant decreases in interleukin-17 (IL-17) production and significant increases in Th2-type cytokine (IL-4, IL-5, and IL-13) production in CARD9-deficient mice after inoculation with strain LW10. While leukocyte infiltration to the lungs of CARD9-deficient mice was similar in LW10 and WT C. neoformans-infected mice, macrophages derived from CARD9-deficient mice inherently skewed toward an M2 activation phenotype, were unable to contain the growth of LW10, and failed to produce nitric oxide in response to infection with LW10 or stimulation with lipopolysaccharide. These results suggest that CARD9-mediated signaling is required for M1 macrophage activation and fungicidal activity necessary for the induction of vaccine-mediated immunity against C. neoformansIMPORTANCECryptococcus neoformans is a fungal pathogen that is found throughout the environment and can cause life-threatening infections of the lung and central nervous system in severely immunocompromised individuals. Caspase recruitment domain-containing protein 9 (CARD9) is a critical molecule that is activated after interactions of C-type lectin receptors (CLRs) found on the surfaces of specific immune cells, with carbohydrate structures associated with fungi. Patients with defects in CARD9 are significantly more susceptible to a multitude of fungal infections. C. neoformans contains several carbohydrate structures that interact with CLRs on immune cells and activate CARD9. Consequently, these studies evaluated the necessity of CARD9 for the induction of protective immunity against C. neoformans infection. These results are important, as they advance our understanding of cryptococcal pathogenesis and host factors necessary for the induction of protective immunity against C. neoformans.

IFN-γ immune priming of macrophages in vivo induces prolonged STAT1 binding and protection against Cryptococcus neoformans

Development of vaccines against opportunistic infections is difficult as patients most at risk of developing disease are deficient in aspects of the adaptive immune system. Here, we utilized an experimental immunization strategy to induce innate memory in macrophages in vivo. Unlike current trained immunity models, we present an innate memory-like phenotype in macrophages that is maintained for at least 70 days post-immunization and results in complete protection against secondary challenge in the absence of adaptive immune cells. RNA-seq analysis of in vivo IFN-γ primed macrophages revealed a rapid up-regulation of IFN-γ and STAT1 signaling pathways following secondary challenge. The enhanced cytokine recall responses appeared to be pathogen-specific, dependent on changes in histone methylation and acetylation, and correlated with increased STAT1 binding to promoter regions of genes associated with protective anti-fungal immunity. Thus, we demonstrate an alternative mechanism to induce macrophage innate memory in vivo that facilitates pathogen-specific vaccine-mediated immune responses.

Fungal infections are a significant global health problem that can affect anyone, however, individuals with a weakened immune system are most at risk. Cryptococcus neoformans infections can progress to meningitis in immune compromised individuals accounting for nearly 220,000 new cases annually, resulting in 181,000 deaths. Vaccine strategies tend to target CD4⁺ T cells for the generation of protective memory responses. However, immune compromised individuals have decreased numbers of these adaptive cells, providing a challenge for anti-fungal vaccine design. Here, we define a cellular mechanism by which macrophages, an innate cell population, generate protective immune responses against C. neoformans following initial exposure to a C. neoformans strain that secretes IFN-γ. We determined that the macrophages primed in vivo have heightened proinflammatory cytokine responses upon secondary exposure to C. neoformans in a manner that is mTOR-independent, yet dependent on histone modification dynamics. We show that IFN-γ primed macrophages can maintain STAT1 binding to the promoter regions of key proinflammatory genes long after the initial exposure. Remarkably, our studies show long-lived, cryptococcal-specific protective immunity in vivo. The results presented herein demonstrate that innate cell populations, namely macrophages, can be utilized as vaccine targets to protect against cryptococcal infections in immune compromised populations.

Defects in intracellular trafficking of fungal cell wall synthases lead to aberrant host immune recognition

The human fungal pathogen, Cryptococcus neoformans, dramatically alters its cell wall, both in size and composition, upon entering the host. This cell wall remodeling is essential for host immune avoidance by this pathogen. In a genetic screen for mutants with changes in their cell wall, we identified a novel protein, Mar1, that controls cell wall organization and immune evasion. Through phenotypic studies of a loss-of-function strain, we have demonstrated that the mar1Δ mutant has an aberrant cell surface and a defect in polysaccharide capsule attachment, resulting in attenuated virulence. Furthermore, the mar1Δ mutant displays increased staining for exposed cell wall chitin and chitosan when the cells are grown in host-like tissue culture conditions. However, HPLC analysis of whole cell walls and RT-PCR analysis of cell wall synthase genes demonstrated that this increased chitin exposure is likely due to decreased levels of glucans and mannans in the outer cell wall layers. We observed that the Mar1 protein differentially localizes to cellular membranes in a condition dependent manner, and we have further shown that the mar1Δ mutant displays defects in intracellular trafficking, resulting in a mislocalization of the β-glucan synthase catalytic subunit, Fks1. These cell surface changes influence the host-pathogen interaction, resulting in increased macrophage activation to microbial challenge in vitro. We established that several host innate immune signaling proteins are required for the observed macrophage activation, including the Card9 and MyD88 adaptor proteins, as well as the Dectin-1 and TLR2 pattern recognition receptors. These studies explore novel mechanisms by which a microbial pathogen regulates its cell surface in response to the host, as well as how dysregulation of this adaptive response leads to defective immune avoidance.

An multivalent vaccine elicits protective Th17 response via activation of C-type lectin receptor- and Card9-mediated signal against pulmonary Coccidioides posadasii infection

Coccidioidomycosis is a potentially life-threatening fungal infection that is responsible for ~150,000 infections annually in the United States. Development of a vaccine against Coccidioides infection is urgent. We have created a multivalent coccidioidal antigen (rCpa1) that contains promiscuous human T cell epitopes. The rCpa1 was formulated with 5 types of experimental adjuvants including yeast cell-wall particles and CpG adjuvant. The rCpa1 formulated with glucan chitin particles (GCPs) derived from a non-pathogenic yeast demonstrated the best protective efficacy for susceptible C57BL/6 and HLA-DR4 transgenic mice against this disease compared to the other 4 tested vaccines. This is the first report of a subunit vaccine that can provide a comparable degree of protection to a live, attenuated vaccine against coccidioidomycosis. The GCP-rCpa1 vaccine elicited a robust and durable Th17 memory response. Depletion of Th17 cells significantly reduced the protective efficacy of this vaccine, indicating that Th17 cells play an indispensable role. Dectin-1 and Dectin-2 molecules can bind to the GCP-rCpa1 vaccine particles. Macrophages derived from mice lacking expression of Dectin-1, Dectin-2 and downstream immune adapter CARD9 secreted reduced amounts of IL-1β and IL-6 upon stimulation with GCP-rCpa1 that are essential for Th17 development. Furthermore, vaccinated Dectin-1−/−, Dectin-2−/− and CARD9 −/− mice recruited significantly reduced amounts of Th17 cells to the lungs compared to C57BL/6 mice and succumbed to coccidioidomycosis. Taken together, protection against Coccidioides provided by GCP-rCpa1 vaccine requires Dectin-1- and Dectin-2-CARD9-mediated signaling to activate Th17 immune response.

CARD9 adaptor molecule is indispensable for protection against Cryptococcosis

Caspase recruitment domain-containing protein 9 (CARD9) is a critical adaptor molecule triggered by the interaction of C-type lectin receptors (CLRs) with carbohydrate motifs found in fungi. Cryptococcus neoformans is an opportunistic fungal pathogen predominantly affecting patients with suppressed T cell-mediated immunity and is responsible for ~15% of AIDS-related deaths globally. Cryptococcus can mask itself with a unique carbohydrate capsule complex which also serves as its predominant virulence factor. Previous studies have shown that immunization with a C. neoformans strain genetically engineered to express murine IFN-γ, H99γ, or a hyphaeforming mutant, LW10, results in protection against an otherwise lethal challenge with wild type (WT) C. neoformans. We therefore analyzed the role of CARD9 during the induction of protective anti-Cryptococcus immunity in WT and CARD9 knockout (KO) mice given an experimental pulmonary infection with Cryptococcus neoformans strain H99, H99γ or LW10. CARD9 KO mice were significantly more susceptible to C. neoformans infection compared to their WT counterparts. We then evaluated the role of pulmonary macrophages, the first line of defense against cryptococcosis. Pulmonary macrophages from CARD9 KO mice were unable to control fungal burden. These results suggest that CARD9-mediated signaling is required for optimal macrophage fungicidal activity against Cryptococcus. The overall goal of these studies is to define PRR/ligand interactions and downstream signal transduction pathways that are critical for the induction of protective immunity against cryptococcosis.

Requirement of CXCL11 chemokine production for induction of protection against pulmonary cryptococcosis

Cryptococcus neoformans is an opportunistic fungal pathogen that causes cryptococcal pneumonia in immunocompromised and immunocompetent individuals. We previously have shown that mice given an experimental pulmonary infection with a genetically modified strain of H99 that produces murine IFN-γ, H99γ, are able to completely resolve the pulmonary infection via the upregulation of the IFN-γ/STAT1 signaling pathway. Activation of STAT1 signaling leads to the production of CXCL9, CXCL10 and CXCL11 chemokines. These chemokines each serve as ligands for the CXCR3 receptor that is present on host immune cells including T cells, NK cells, dendritic cells (DCs) and plasmacytoid DCs and facilitate their chemotaxis to the site of infection. C57BL/6 (B6) mice produce a non-functional CXCL11 protein. Our studies show that B6 mice infected with C. neoformans strain H99γ have a 40% survival, compared to 100% survival in BALB/c mice and an 80% survival of F1 generation mice (first generation of BALB/c × B6) at day 60-post inoculation. After 60 days post-inoculation F1 mice infected with H99γ had a significant decrease in fungal burden compared to B6 mice. We also demonstrated that B6 mice do not produce CXCL11, as expected, at day 7 and 14 post-inoculation whereas F1 mice show a significant increase in the production of CXCL11 compared to B6 mice. Lastly, treatment of B6 mice given a pulmonary C. neoformans infection with recombinant CXCL11 resulted in a significant decrease in pulmonary fungal burden compared to untreated B6 mice infected with C. neoformans. These data suggest that activation of the STAT1-mediated signaling pathway and CXCL11 chemokine production is necessary for optimal protection against pulmonary C. neoformans infection.

Innate Immunity against Cryptococcus, from Recognition to Elimination

Cryptococcus species, the etiological agents of cryptococcosis, are encapsulated fungal yeasts that predominantly cause disease in immunocompromised individuals, and are responsible for 15% of AIDS-related deaths worldwide. Exposure follows the inhalation of the yeast into the lung alveoli, making it incumbent upon the pattern recognition receptors (PRRs) of pulmonary phagocytes to recognize highly conserved pathogen-associated molecular patterns (PAMPS) of fungi. The main challenges impeding the ability of pulmonary phagocytes to effectively recognize Cryptococcus include the presence of the yeast's large polysaccharide capsule, as well as other cryptococcal virulence factors that mask fungal PAMPs and help Cryptococcus evade detection and subsequent activation of the immune system. This review will highlight key phagocyte cell populations and the arsenal of PRRs present on these cells, such as the Toll-like receptors (TLRs), C-type lectin receptors, NOD-like receptors (NLRs), and soluble receptors. Additionally, we will highlight critical cryptococcal PAMPs involved in the recognition of Cryptococcus. The question remains as to which PRR-ligand interaction is necessary for the recognition, phagocytosis, and subsequent killing of Cryptococcus.

Entrainment of the rat motor activity rhythm: effects of the light-dark cycle and physical exercise

The circadian system is believed to be composed of a population of oscillators that couple together and generate a single rhythm. If this coupling is not strong enough, the circadian system can be dissociated into two or more groups of oscillators, and this is manifested in a dissociation of the overt rhythm into at least two circadian components. This study aims to examine the influence of factors, such as the difference in impact between T and tau, light intensity, and access to a running wheel, on the distribution of motor activity throughout the light-dark (LD) cycle and the dissociation of the rhythm. Rats were submitted to LD cycles of 23 h (T23) or 25 h. For each such cycle, half the rats were submitted to high light intensity and the other half to low light intensity. For each of these conditions, half the rats were kept in small cages, and the other half were in cages with a running wheel. Rats were maintained first under LD cycles and afterwards under constant darkness (DD). Motor activity was recorded throughout the whole experiment by means of activity meters with infrared beams. Results show that the distribution of motor activity throughout the cycle and the after effects observed in the rhythm under DD depended on light intensity and access to the wheel. Moreover, under T23, some rats showed two simultaneous circadian components whose manifestation also depended on the experimental conditions. The results indicate that the strength of circadian entrainment to LD cycles in the rat depends on three factors: the period length of the LD cycle, light intensity used during the light phase, and access to a running wheel.

Period length of the light-dark cycle influences the growth rate and food intake in mice

The adaptation of the endogenous rhythm of an organism to external cycles may be critical for the development of physiological processes in which energy is expended. We sought to determine whether growth rate depends on the degree of tuning between the external cycle and the manifestation of the circadian rhythms. To do so, we studied the growth rate and the food intake of mice (seven groups of 20 animals each) kept under symmetric LD cycles with different periods (T) of 21, 22, 23, 24, 25, 26, and 27 h, respectively, for 80 days. The mice were then kept in constant darkness for a further 80 days. Throughout the experiment, motor activity was recorded every 15 min for each mouse by means of an actimeter that used crossed infrared beams. Several variables related to the circadian motor activity rhythm were calculated, and correlated with body weight, food intake, and the efficiency of food for growth (food efficiency) calculated as: 100 x body weight increase/ amount of food intake. Results show that these three variables seem to be influenced by the number of circadian cycles that the animal has experienced, but also, and more significantly, by the degree to which the alpha phase of the individual rhythm and the dark phase of the external cycle coincide. Therefore, circadian rhythms would seem to affect the physiological processes that regulate growth and energy expenditure.

Constant bright light (LL) during lactation in rats prevents arrhythmicity due to LL

Light has a strong effect on the circadian system. Light-dark (LD) cycles are the main zeitgebers for practically all organisms, and the exposure of animals to constant bright light (LL) alters the manifestation of circadian rhythms. In rats, exposure to LL in adulthood produces an arrhythmic pattern in their motor activity, with a large number of ultradian components. In previous experiments, we found that rats born and kept under LL during lactation develop, after weaning, a circadian rhythm which is maintained for at least a couple of months. Here, we examined motor activity rhythms under LL of two groups of rats which differed in the lighting conditions under which they were kept during lactation: 1) rats kept under LL during lactation (LL-rats), which manifested a circadian rhythm after weaning, and 2) rats kept under constant darkness (DD-rats), which were arrhythmic after weaning. We investigated whether the presence of rhythmicity under LL in LL-rats is a transitory effect or whether it persists throughout most of the life of the rat. Moreover, we examined motor activity rhythms of both groups of rats under different lighting conditions to find out other possible differences in the manifestation of their circadian rhythms. Results showed that there are no differences in the capacity of entrainment of both groups of rats to LD cycles or in the rhythm that rats show under DD. Most of the LL-rats maintained their circadian rhythms for the duration of the experiment (1 year), although we found differences in the rhythms manifested between males and females. We found that most of the LL-males became arrhythmic; consequently, at the end of the experiment, there were no differences in the number of males showing circadian rhythm in the LL- and DD-groups. Most of the females in the LL-group showed a clear circadian rhythm under LL during the entire experiment. Thus, LL during lactation has a protective effect against the disruptive effect of LL on the circadian rhythm, although it is only clearly manifested in females.

Dissociation of the rat motor activity rhythm under T cycles shorter than 24 hours

Since the suprachiasmatic nuclei (SCN) were identified as the principal mammalian circadian clock, many studies describing their morphology and physiology have been carried out. Today, the multioscillatory nature of the SCN, which explains the dissociation of the circadian rhythms under some experimental conditions, is widely accepted. Here, we study the simultaneous presence of two circadian rhythms in the motor activity of the rat when exposed to symmetric light-dark (LD) cycles shorter than 24 h (T21, T21.5, T22, T22.5, T23, and T23.5). One rhythmic component was entrained by the external LD cycle whereas the other ran free with a period longer than 24 h. The results show that two circadian rhythms were present only when T was shorter than T23, whereas at T23.5 only one entrained component was manifested. The manifestation of the two circadian components depends quantitatively on the period of the external cycle--i.e., the strength of the entrained rhythm increases when the external T is closer to 24 h--whereas that of the nonentrained rhythm decreases. The dissociation of the motor activity rhythm and the gradual appearance of the two components are explained by considering the entrainment of a multioscillatory system as not taking place as a whole but rather in a partial manner, in such a way that some oscillators may entrain but not others. The effect of the entrained oscillators is added to the masking effect of the LD cycles.

Simultaneous manifestation of free-running and entrained rhythms in the rat motor activity explained by a multioscillatory system

Seven groups of 6 young male rats were exposed for 60 calendar days to symmetrical light/dark cycles with different periods (T = 22, 23, 24, 25, 26, 27, and 28 h), and subsequently to constant darkness for 30 days. During exposure to the light/dark cycles, all the animals in all groups presented a motor activity component that was entrained to the external cycles, although the animals subjected to light/dark cycles with periods shorter than 25 hours also presented a nonentrained circadian component. Moreover, in all cases, the effect of masking was present, manifested as a reactivity to the light-dark transitions and as a reduction of activity induced by light. Our results demonstrate that masking, entrainment, and free-running rhythm can be present at the same time. The simultaneous presence of the light-entrained component and the nonentrained component can be explained in terms of a multioscillatory system, in which some oscillators could be entrained to the light/dark cycles while other oscillators could be nonentrained at the same time. Thus, the present study indicates that the circadian system is not necessarily entirely entrained, and that the degree of entrainment may depend on the number of oscillators involved in generating the entrained rhythm.

Influence of period length of light/dark cycles on the body weight and food intake of young rats

The purpose of this work is to test whether physiological factors, such as body weight or food intake, are related to the period of environmental cycles under which animals are kept. We studied body weight increase, daily food intake and efficiency (i.e. relationship between body weight increase and food intake) of 7 groups each containing 20-24 male rats. Measurements were recorded every 4 days from the day of weaning (25 days old) during 64 days. Each group of rats was kept under a symmetrical LD cycle. The period of the cycles studied were: 22, 23, 24, 25, 26, 27 and 28 hours (T22, T23 ... T28). Results show differences in the three variables studied for groups T25 and T26. These animals show an inferior body weight, less food intake and less efficiency. It would seem that the difference between the period of the external LD cycle and the endogenous period of the animals rhythm induces changes in the energetic needs of the organism.