Medical Clinic II.
Med Mycol. 2014 May;52(4):438-44. doi: 10.1093/mmy/myu005. Epub 2014 Apr 8.
In immunocompromised patients, invasive aspergillosis (IA) is the most frequent disease caused by the pathogenic mould Aspergillus fumigatus. Fever is one of the most common yet nonspecific clinical symptoms of IA. To evaluate the role of hyperthermia in the innate immune response to A. fumigatus in vitro, human monocyte-derived dendritic cells (DCs) were stimulated with germ tubes of A. fumigatus or the fungal cell wall component zymosan at 37°C or 40°C, followed by characterization of specific DC functions. While maturation of DCs was enhanced and DC phagocytic capacity was reduced at 40°C, we observed that DC viability and cytokine release were unaffected. Thus, our results suggest that hyperthermia has substantial impacts on DC function in vitro, which might also influence the course and outcome of IA in immunocompromised patients.
在免疫功能低下的患者中,侵袭性曲霉病(IA)是由致病霉菌烟曲霉引起的最常见疾病。发热是 IA 最常见但非特异性的临床症状之一。为了评估高温在体外对烟曲霉的固有免疫反应中的作用,用烟曲霉的芽管或真菌细胞壁成分(zymosan)在 37°C 或 40°C 下刺激人单核细胞来源的树突状细胞(DC),然后对特定的 DC 功能进行特征分析。虽然在 40°C 时 DC 的成熟增强,而 DC 的吞噬能力降低,但我们观察到 DC 的活力和细胞因子释放不受影响。因此,我们的结果表明,高温对体外 DC 功能有重大影响,这也可能影响免疫功能低下患者的 IA 病程和结果。