Shahan T A, Sorenson W G, Paulauskis J D, Morey R, Lewis D M
Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia 26505, USA.
Am J Respir Cell Mol Biol. 1998 Mar;18(3):435-40. doi: 10.1165/ajrcmb.18.3.2856.
Inhalation of fungal spores has been shown to cause primary or secondary infection and respiratory inflammation and diseases such as allergic alveolitis, atopic asthma, and organic dust toxic syndrome, which are rarely reported in the absence of predisposing factors. Biochemical and molecular markers of inflammation were measured in rat bronchial alveolar lavage cells (> 95% macrophages) following stimulation with fungal spores isolated from pathogenic and nonpathogenic fungi that have been implicated in airway inflammation. The results of this study demonstrate that mRNA transcripts for the C-X-C branch of the PF4 superfamily are differentially upregulated over those of the C-C mediators in a time- and concentration-dependent manner. Macrophage inflammatory protein (MIP)-2 and KC were differentially upregulated over the acute phase inflammatory cytokines MIP-1alpha and tumor necrosis factor-alpha (TNF-alpha) in rat alveolar macrophages stimulated with fungal spores from Aspergillus candidus, Aspergillus niger, Eurotium amstelodami, and Cladosporium cladosporioides. Spores from Aspergillus terreus and Penicillium spinulosum failed to stimulate an increase of any cytokine mRNA, whereas those from Aspergillus fumigatus stimulated the upregulation of MIP-2, KC, TNF-alpha, and MIP-1alpha mRNAs. Over time, A. fumigatus stimulated increasing KC production until 24 h, when production levels increased slightly, then leveled off when measurements ceased at 36 h. Latex spheres stimulated modest amounts of MIP-2 and transforming growth factor-beta only. These observations suggest that the inflammatory cytokines MIP-2 and KC may be involved in the inflammation arising from the inhalation of fungal spores in a time- and concentration-dependent manner.
吸入真菌孢子已被证明会导致原发性或继发性感染以及呼吸道炎症和疾病,如过敏性肺泡炎、特应性哮喘和有机粉尘中毒综合征,在没有易感因素的情况下很少有报道。在用从与气道炎症有关的致病性和非致病性真菌中分离出的真菌孢子刺激大鼠支气管肺泡灌洗细胞(>95%为巨噬细胞)后,测量了炎症的生化和分子标志物。这项研究的结果表明,PF4超家族C-X-C分支的mRNA转录本在时间和浓度依赖性上比C-C介质的转录本有差异地上调。在用白色念珠菌、黑曲霉、阿姆斯特丹散囊菌和枝孢菌的真菌孢子刺激的大鼠肺泡巨噬细胞中,巨噬细胞炎性蛋白(MIP)-2和KC比急性期炎性细胞因子MIP-1α和肿瘤坏死因子-α(TNF-α)有差异地上调。土曲霉和微小青霉的孢子未能刺激任何细胞因子mRNA的增加,而烟曲霉的孢子刺激了MIP-2、KC、TNF-α和MIP-1α mRNA的上调。随着时间的推移,烟曲霉刺激KC的产生不断增加,直到24小时,此时产生水平略有上升,然后在36小时测量停止时趋于平稳。乳胶球仅刺激产生少量的MIP-2和转化生长因子-β。这些观察结果表明,炎性细胞因子MIP-2和KC可能以时间和浓度依赖性方式参与吸入真菌孢子引起的炎症。