Department of Medical Technology, Faculty of Allied Health Sciences, Thammasat University, Pathumthani 12120, Thailand.
Graduate Program in Biomedical Science, Faculty of Allied Health Sciences, Thammasat University, Pathumthani 12120, Thailand; and.
J Immunol. 2020 Aug 1;205(3):674-685. doi: 10.4049/jimmunol.2000073. Epub 2020 Jun 19.
Cryptococcal meningitis is one of the most common life-threatening diseases caused by infection. Increasing evidence indicates that type 2 immunity is associated with disease progression by promoting fungal growth and dissemination. However, factors that govern this pathogenic response during infection are still elusive. In this study, we investigated the role of IL-25, one of the type 2-inducing cytokines produced by epithelial cells, in contributing to the pathogenesis of cryptococcosis. We found that pulmonary but not systemic infection with a high-virulence strain of significantly induced pulmonary IL-25 expression in the lungs but not brains. In response to pulmonary infection, mice deficient in the surface IL-17 receptor B, a component of the IL-25R, exhibited improved survival with a decreased brain fungal burden. The absence of IL-25R signaling diminished the type 2 and enhanced the type 1 immune response that directed macrophage polarization toward M1 macrophages. Interestingly, -mediated IL-25 signaling suppressed the expression of cytokines and chemokines associated with protection in the brain, including and , without affecting brain cellular inflammation and microglia cell activation. mice receiving cryptococcal-specific CD4 T cells from wild-type had a shorter survival time with higher fungal burden within the brain and an elevated expression of M2 macrophage markers than those receiving cryptococcal-specific CD4 T cells from mice. Taken together, our data indicated that IL-25 signaling subverts the induction of protective immunity and amplifies the type 2 immune response that may favor the development of cryptococcal disease and the fungal dissemination to the CNS.
隐球菌性脑膜炎是由真菌感染引起的最常见的危及生命的疾病之一。越来越多的证据表明,2 型免疫通过促进真菌生长和传播与疾病进展相关。然而,在感染过程中控制这种致病反应的因素仍然难以捉摸。在这项研究中,我们研究了 IL-25(上皮细胞产生的 2 型诱导细胞因子之一)在隐球菌病发病机制中的作用。我们发现,高毒力 株肺部而非系统性感染显著诱导肺部 IL-25 表达,但不诱导大脑表达。对肺部感染的反应,缺乏表面白细胞介素 17 受体 B(IL-25R 的组成部分)的小鼠表现出改善的存活,大脑真菌负荷降低。IL-25R 信号的缺失减弱了 2 型免疫反应,增强了 1 型免疫反应,使巨噬细胞向 M1 巨噬细胞极化。有趣的是,介导的 IL-25 信号抑制了与大脑中保护相关的细胞因子和趋化因子的表达,包括 和 ,而不影响大脑细胞炎症和小胶质细胞激活。接受野生型小鼠来源的隐球菌特异性 CD4 T 细胞的 小鼠的存活时间更短,大脑中的真菌负荷更高,M2 巨噬细胞标志物的表达水平更高,而接受 小鼠来源的隐球菌特异性 CD4 T 细胞的小鼠则更低。总之,我们的数据表明,IL-25 信号会破坏保护性免疫的诱导,并放大 2 型免疫反应,这可能有利于隐球菌病的发展和真菌向中枢神经系统的传播。