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2015 ; 83
(12
): 4594-603
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gab.com Text
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English Wikipedia
Neither classical nor alternative macrophage activation is required for
Pneumocystis clearance during immune reconstitution inflammatory syndrome
#MMPMID26371121
Zhang ZQ
; Wang J
; Hoy Z
; Keegan A
; Bhagwat S
; Gigliotti F
; Wright TW
Infect Immun
2015[Dec]; 83
(12
): 4594-603
PMID26371121
show ga
Pneumocystis is a respiratory fungal pathogen that causes pneumonia (Pneumocystis
pneumonia [PcP]) in immunocompromised patients. Alveolar macrophages are critical
effectors for CD4(+) T cell-dependent clearance of Pneumocystis, and previous
studies found that alternative macrophage activation accelerates fungal clearance
during PcP-related immune reconstitution inflammatory syndrome (IRIS). However,
the requirement for either classically or alternatively activated macrophages for
Pneumocystis clearance has not been determined. Therefore, RAG2(-/-) mice lacking
either the interferon gamma (IFN-?) receptor (IFN-?R) or interleukin 4 receptor
alpha (IL-4R?) were infected with Pneumocystis. These mice were then immune
reconstituted with wild-type lymphocytes to preserve the normal T helper response
while preventing downstream effects of Th1 or Th2 effector cytokines on
macrophage polarization. As expected, RAG2(-/-) mice developed severe disease but
effectively cleared Pneumocystis and resolved IRIS. Neither RAG/IFN-?R(-/-) nor
RAG/IL-4R?(-/-) mice displayed impaired Pneumocystis clearance. However,
RAG/IFN-?R(-/-) mice developed a dysregulated immune response, with exacerbated
IRIS and greater pulmonary function deficits than those in RAG2 and
RAG/IL-4R?(-/-) mice. RAG/IFN-?R(-/-) mice had elevated numbers of lung CD4(+) T
cells, neutrophils, eosinophils, and NK cells but severely depressed numbers of
lung CD8(+) T suppressor cells. Impaired lung CD8(+) T cell responses in
RAG/IFN-?R(-/-) mice were associated with elevated lung IFN-? levels, and
neutralization of IFN-? restored the CD8 response. These data demonstrate that
restricting the ability of macrophages to polarize in response to Th1 or Th2
cytokines does not impair Pneumocystis clearance. However, a cell type-specific
IFN-?/IFN-?R-dependent mechanism regulates CD8(+) T suppressor cell recruitment,
limits immunopathogenesis, preserves lung function, and enhances the resolution
of PcP-related IRIS.