Arruda Celina, Franco Marcello F, Kashino Suely S, Nascimento Flávia R F, Fazioli Raquel dos Anjos, Vaz Celidéia A C, Russo Momtchilo, Calich Vera L G
Departmento de Imunologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, Brazil.
Clin Immunol. 2002 May;103(2):185-95. doi: 10.1006/clim.2002.5207.
Paracoccidioides brasiliensis is a facultative, intracellular pathogen causing the most important deep mycosis in Latin America. As the production of IFN-gamma and induction of cell-mediated immunity to P. brasiliensis is of critical importance in host defense, the immunotherapeutic effect of exogenous IL-12 administration was studied in a murine model of susceptibility to pulmonary infection. rIL-12 treatment led to a less disseminated disease, as confirmed by decreased fungal loads in liver and spleen. Administration of rIL-12 did not affect fungal growth in the lungs, although it did induce an augmented pulmonary mononuclear cell inflammation. IL-12 treatment induced an early (week 1) increase in pulmonary IFN-gamma, but decreased cytokine and specific antibody (IgG1 and IgG3) production at week 8 after infection. These results show that IL-12 administration induces a less severe infection, but the high inflammatory response detected in the lungs precludes its possible use as a new therapeutic tool for severe paracoccidioidomycosis.
巴西副球孢子菌是一种兼性细胞内病原体,可引发拉丁美洲最重要的深部真菌病。由于干扰素-γ的产生以及对巴西副球孢子菌的细胞介导免疫诱导在宿主防御中至关重要,因此在小鼠肺部感染易感性模型中研究了外源性白细胞介素-12给药的免疫治疗效果。重组白细胞介素-12治疗导致疾病传播减少,肝脏和脾脏中的真菌负荷降低证实了这一点。重组白细胞介素-12给药虽未影响肺部真菌生长,但确实诱导了肺部单核细胞炎症增强。白细胞介素-12治疗在感染后第1周使肺部干扰素-γ早期增加,但在第8周时细胞因子和特异性抗体(IgG1和IgG3)产生减少。这些结果表明,白细胞介素-12给药可诱导感染程度减轻,但在肺部检测到的高炎症反应使其无法作为严重副球孢子菌病的新治疗工具使用。