The opportunistic fungal pathogen Cryptococcus neoformans causes lung inflammation and fatal meningitis in immunocompromised patients. Regulatory T (Treg) cells play an important role in controlling immunity and homeostasis. However, their functional role during fungal infection is largely unknown. In this study, we investigated the role of Treg cells during experimental murine pulmonary C. neoformans infection. We show that the number of CD4 + FoxP3 + Treg cells in the lung increases significantly within the first
weeks after intranasal infection of BALB/c wild-type mice. To define the function of Treg cells we used DEREG mice allowing selective depletion of CD+ FoxP3+ Treg cells by application of diphtheria toxin. In Treg cell-depleted mice, stronger pulmonary allergic inflammation with enhanced mucus production and pronounced eosinophilia, increased IgE production, and elevated fungal lung burden were found. This was accompanied by higher frequencies of GATA-3 + T helper (Th) 2 cells with elevated capacity to produce interleukin (IL)-4, IL-5, and IL-13. In contrast, only a mild increase in the Th1-associated immune response unrelated to the fungal infection was observed. In conclusion, the data demonstrate that during fungal infection pulmonary Treg cells are induced and preferentially suppress Th2 cells thereby mediating enhanced fungal control.
Keywords: Cryptococcus neoformans r Pulmonary fungal infection r Regulatory T (Treg) cells r Th2 immunityAdditional supporting information may be found in the online version of this article at the publisher's web-site
IntroductionCryptococcus neoformans is a globally distributed, opportunistic fungal pathogen. Primary infection most commonly occurs via inhalation of spores or infectious propagules which encounter alveolar macrophages or dendritic cells in the lung and triggerCorrespondence: Prof. Gottfried Alber e-mail: alber@rz.uni-leipzig.de an immune response [1,2]. In immunocompromised patients, the inability to control the infection by macrophages readily leads to systemic dissemination with subsequent development of fatal meningoencephalitis [3]. As a consequence, cryptococcal meningitis accounts for the majority of worldwide deaths from HIV-related fungal infections [4,5]. It has been well established that the efficient control of C. neoformans requires a T helper cell (Th)1-immune response [6,7]. Mice lacking the Th1-type cytokines interferon-γ (IFN-γ) or interleukin (IL)-12 show a decreased survival rate [8,9].www.eji-journal.eu Eur. J. Immunol. 2014. 44: 3596-3604 Immunity to infection
3597In contrast, the loss of hallmark Th2-type cytokines such as IL-4 and IL-13 (or their common IL-4 receptor) confers protection and promotes survival [10][11][12][13]
Results
CD4+ FoxP3 + regulatory T cells increase early during pulmonary infection with C. neoformans Experimental pulmonary infection with the opportunistic fungal pathogen C. neoformans revealed a protective role of Th1 and Th17 immunity, while a Th2-biased immune response is detrimental [29]. The role o...