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10.1128/IAI.00763-15

http://scihub22266oqcxt.onion/10.1128/IAI.00763-15
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suck abstract from ncbi


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pmid26371121
      Infect+Immun 2015 ; 83 (12 ): 4594-603
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  • 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.
  • |Animals [MESH]
  • |CD8-Positive T-Lymphocytes/*immunology/microbiology/pathology [MESH]
  • |DNA-Binding Proteins/deficiency/genetics/immunology [MESH]
  • |Eosinophils/immunology/microbiology/pathology [MESH]
  • |Gene Expression Regulation [MESH]
  • |Host-Pathogen Interactions [MESH]
  • |Immune Reconstitution Inflammatory Syndrome/genetics/*immunology/microbiology/pathology [MESH]
  • |Interferon gamma Receptor [MESH]
  • |Killer Cells, Natural/immunology/microbiology/pathology [MESH]
  • |Lung/immunology/microbiology/pathology [MESH]
  • |Macrophage Activation [MESH]
  • |Macrophages, Alveolar/*immunology/microbiology/pathology [MESH]
  • |Mice [MESH]
  • |Mice, Knockout [MESH]
  • |Mice, SCID [MESH]
  • |Neutrophils/immunology/microbiology/pathology [MESH]
  • |Pneumocystis/*immunology/pathogenicity [MESH]
  • |Pneumonia, Pneumocystis/genetics/*immunology/microbiology/pathology [MESH]
  • |Receptors, Cell Surface/deficiency/genetics/immunology [MESH]
  • |Receptors, Interferon/deficiency/genetics/immunology [MESH]
  • |Signal Transduction [MESH]
  • |T-Lymphocytes, Helper-Inducer/*immunology/microbiology/pathology [MESH]


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