Dhruva Pari M, Draper Thomas E, Chiller Camille A, Jones MaryJane, Steele Chad
Department of Microbiology and Immunology, School of Medicine, Tulane University, New Orleans, Louisiana, USA.
mBio. 2025 Sep 22:e0256425. doi: 10.1128/mbio.02564-25.
is a ubiquitous mold that is the primary etiological agent of invasive pulmonary aspergillosis (IPA), a severe lung infection in immunocompromised patients with extreme mortality. Innate immunity is critical for controlling the severity of IPA. Regarding dendritic cells (DCs), studies have shown protective roles for monocyte-derived DCs and plasmacytoid DCs during IPA. Here, we examined the role of type 1 conventional dendritic cells (cDC1s) during lung infection. We first show that global depletion of DCs resulted in impaired lung clearance of , indicating a protective role for DCs, as expected. Unexpectedly, however, mice lacking cDC1s (-/-) cleared more efficiently than wild-type C57BL/6 control mice. Enhanced fungal clearance was also observed in two additional cDC1-deficient strains, Cd11cCre/Irf8flox/flox mice and interferon regulatory factor 8 +32-/- mice. -/- mice displayed an enhanced type 17 immune response, which we have shown to be required for optimal immunity during IPA. Moreover, elevated type 17 responses correlated with differential production of IL-33 (decreased in -/-) and PGE2 (increased in -/-), an axis we have reported to promote type 17 responses during IPA. We further show that alveolar macrophages from -/- mice had increased fungicidal activity against . In contrast, alveolar macrophages cultured in the presence of bone marrow-derived cDC1s had lower fungicidal activity compared to alveolar macrophages cultured alone, suggesting that cDC1s restrict alveolar macrophage function. Taken together, our data identify cDC1s as a regulator of innate immune responsiveness during IPA.IMPORTANCEFungal infections have increased at an alarming rate as a result of increased usage of immunosuppressive therapies, growing resistance to antifungal drugs, and global warming. This recently prompted the World Health Organization to publish the first-ever fungal priority pathogens list, which focused on 19 organisms, ultimately deeming 4 pathogens of critical importance based on perceived public health importance. Among these four was the opportunistic mold , the etiological agent of the most lethal fungal infection known to humans, IPA. Innate immunity is paramount for controlling IPA with protective roles identified for multiple myeloid cell types. In the current report, employing three complementary animal models, we show that cDC1s hinder the clearance of from the lung. We further identified specific responses that are regulated by cDC1s. Overall, our study uncovers a new mechanism of immune regulation during IPA.
是一种普遍存在的霉菌,是侵袭性肺曲霉病(IPA)的主要病原体,IPA是一种发生在免疫功能低下患者中的严重肺部感染,死亡率极高。固有免疫对于控制IPA的严重程度至关重要。关于树突状细胞(DCs),研究表明单核细胞衍生的DCs和浆细胞样DCs在IPA期间具有保护作用。在这里,我们研究了1型常规树突状细胞(cDC1s)在肺部感染中的作用。我们首先表明,DCs的整体耗竭导致肺部清除能力受损,这表明DCs具有保护作用,正如预期的那样。然而,出乎意料的是,缺乏cDC1s(-/-)的小鼠比野生型C57BL/6对照小鼠更有效地清除了。在另外两种cDC1缺陷型品系Cd11cCre/Irf8flox/flox小鼠和干扰素调节因子8 +32-/-小鼠中也观察到真菌清除增强。-/-小鼠表现出增强的17型免疫反应,我们已经证明这是IPA期间最佳免疫所必需的。此外,升高的17型反应与IL-33(-/-中减少)和PGE2(-/-中增加)的差异产生相关,我们报道该轴在IPA期间促进17型反应。我们进一步表明,来自-/-小鼠的肺泡巨噬细胞对的杀真菌活性增加。相反,与单独培养的肺泡巨噬细胞相比,在骨髓来源的cDC1s存在下培养的肺泡巨噬细胞具有较低的杀真菌活性,这表明cDC1s限制肺泡巨噬细胞功能。综上所述,我们的数据确定cDC1s是IPA期间固有免疫反应性的调节因子。重要性由于免疫抑制疗法的使用增加、对抗真菌药物的耐药性增加以及全球变暖,真菌感染以惊人的速度增加。这最近促使世界卫生组织发布了有史以来第一份真菌重点病原体清单,该清单聚焦于19种生物体,最终根据公众健康重要性认定4种病原体至关重要。这四种病原体中有一种是机会性霉菌,即人类已知的最致命真菌感染IPA的病原体。固有免疫对于控制IPA至关重要,多种髓样细胞类型已被确定具有保护作用。在本报告中,我们使用三种互补的动物模型表明,cDC1s阻碍了肺部的清除。我们进一步确定了由cDC1s调节的特定反应。总体而言,我们的研究揭示了IPA期间免疫调节的新机制。