Department of Dermatology, Research Center of Medical Mycology, Peking University First Hospital, Beijing 100034, China.
Chin Med J (Engl). 2009 Sep 5;122(17):2017-21.
Invasive pulmonary aspergillosis (IPA) is a severe and frequently fatal disease in patients receiving treatment with immunosuppressive agents such as cyclophosphamide. Aspergillus fumigatus (A. fumigatus) now is a leading cause of IPA. Dectin-1 and Toll-like receptor 2 (TLR2) are important pattern recognition receptors involved in immune responses to A. fumigatus in vitro. However, the expression of the two receptors during the infection of A. fumigatus in vivo is not completely understood. The effects of cyclophosphamide treatment on the expression of the receptors need to be further studied.
We established different immune status in mice models with or without A. fumigatus infection. On days 1, 3 and 5 post inoculation, pulmonary tissues from mice of the different groups were harvested. Dectin-1 and TLR2 mRNA expression in the lungs of the mice were investigated by real-time PCR. The pulmonary fungal burden in the mice with A. fumigatus infection was also evaluated.
In the immunocompetent mice, three days after A. fumigatus inoculation, dectin-1 and TLR2 expression increased markedly compared with the normal control group. Cyclophosphamide inhibited the clearance of pathogens and the expression of dectin-1 with or without A. fumigatus infection in the lungs as well. There was no statistical difference in TLR2 expression between the different immune status groups.
Our results suggest that in vivo, dectin-1 and TLR2 are activated during the experimental period which would provide a broad range of possibilities for a specific and effective inflammatory response to kill A. fumigatus. Inhibition of dectin-1 expression may be one of the mechanisms of cyclophosphamide in the development of IPA.
侵袭性肺曲霉病(IPA)是接受免疫抑制剂治疗(如环磷酰胺)的患者中一种严重且常致命的疾病。烟曲霉(A. fumigatus)现在是 IPA 的主要原因。Dectin-1 和 Toll 样受体 2(TLR2)是体外免疫反应中识别烟曲霉的重要模式识别受体。然而,在体内烟曲霉感染过程中,这两种受体的表达并不完全清楚。环磷酰胺治疗对受体表达的影响需要进一步研究。
我们建立了有无烟曲霉感染的小鼠模型的不同免疫状态。在接种后第 1、3 和 5 天,从不同组别的小鼠中收获肺组织。通过实时 PCR 研究小鼠肺部中 Dectin-1 和 TLR2 的 mRNA 表达。还评估了烟曲霉感染小鼠的肺部真菌负荷。
在免疫功能正常的小鼠中,接种烟曲霉三天后,与正常对照组相比,Dectin-1 和 TLR2 的表达明显增加。环磷酰胺抑制了病原体的清除,并且无论是否存在烟曲霉感染,都会抑制肺部 Dectin-1 的表达。在不同免疫状态组之间,TLR2 的表达没有统计学差异。
我们的结果表明,在体内,Dectin-1 和 TLR2 在实验期间被激活,为特异性和有效的炎症反应杀死烟曲霉提供了广泛的可能性。Dectin-1 表达的抑制可能是环磷酰胺在 IPA 发展中的机制之一。