Acanthamoeba castellanii is a ubiquitous free-living amoeba with a worldwide distribution that can occasionally infect humans, causing particularly severe infections in immunocompromised individuals. Dissecting the immunology of Acanthamoeba infections has been considered problematic due to the very low incidence of disease, despite the high exposure rates. While macrophages are acknowledged as playing a significant role in Acanthamoeba infections, little is known about how this facultative parasite influences macrophage activity. Therefore, in this study we investigated the effects of Acanthamoeba on the activation of resting macrophages. Consequently, murine bone marrow-derived macrophages were cocultured with trophozoites of either the laboratory Neff strain or a clinical isolate of A. castellanii. In vitro real-time imaging demonstrated that trophozoites of both strains often established evanescent contact with macrophages. Both Acanthamoeba strains induced a proinflammatory macrophage phenotype characterized by the significant production of interleukin-12 (IL-12) and IL-6. However, macrophages cocultured with the clinical isolate of Acanthamoeba produced significantly less IL-12 and IL-6 than the Neff strain. The utilization of macrophages derived from MyD88-, TRIF-, Toll-like receptor 2 (TLR2)-, TLR4-, and TLR2/4-deficient mice indicated that Acanthamoeba-induced proinflammatory cytokine production was through MyD88-dependent, TRIF-independent, TLR4-induced events. This study shows for the first time the involvement of TLRs expressed on macrophages in the recognition of and response to Acanthamoeba trophozoites.
KEYWORDS Acanthamoeba, macrophagesA canthamoeba castellanii is a ubiquitous free-living amoeba that has been isolated from both outdoor and indoor environments. It exists as actively feeding, dividing trophozoites and the dormant environmentally resistant cyst. Despite its ability to proliferate and survive as a free-living organism, Acanthamoeba is also a facultative parasite of humans, most frequently causing a painful, potentially blinding infection of the eye, called Acanthamoeba keratitis (AK), in immunocompetent individuals. Acanthamoeba is also an opportunistic parasite, and in immunocompromised individuals it is responsible for an often fatal infection of the brain, named granulomatous amoebic encephalitis (GAE) (1). The ability of the vast majority of immunocompetent humans to resist infection coupled with the susceptibility of the immunocompromised demonstrates the importance of the immune system in resistance to infection. However, and