Allergic bronchopulmonary mycosis (ABPM) is a hypersensitivity lung disease in which fungal colonization is accompanied by an allergic response to the fungus. Using a mouse model of ABPM caused by Cryptococcus neoformans infection of C57BL/6 mice, the goal of the present studies was to determine the effect of the CD4-depleting monoclonal antibody GK1.5 on the development of the allergic responses seen during active fungal infection. These results would provide insight into the role of CD4 ؉ T cells in this disease. Our results show that GK1.5 treatment resulted in attenuation of pulmonary inflammation and eosinophilia in these animals. These mice also had reduced T2 cytokine production and no serum immunoglobulin E production.
Absence of CD4؉ T cells did not affect recruitment of CD8 ؉ T cells to the site of infection; however, the numbers of CD19 ؉ B cells were severely reduced in the lungs of CD4 ؉ T-cell-depleted animals. We also examined changes in the pulmonary architecture and found that depletion of CD4 ؉ T cells was associated with a significant reduction in mucus production and goblet cell metaplasia in these mice. Interestingly, attenuation of Th2 responses in CD4؉ T-cell-depleted animals did not increase the fungal load in their lungs. We also compared development of ABPM in young and mature mice and did not find any differences at any of the time points. Overall, our results show that depletion of CD4 ؉ T cells prevents the development of Th2 responses seen during ABPM.Allergic bronchopulmonary mycosis (ABPM) is a hypersensitivity disease that results when fungal colonization of the lung is accompanied by an allergic response to the fungus. It is typically seen in atopic individuals such as asthmatics and patients with cystic fibrosis. This disease is characterized by several clinical, radiologic, immunologic, and pathological symptoms that range from mild asthma to end-stage fibrotic disease (9, 14, 26). Significant pulmonary pathology is associated with fungus-induced allergic and asthmatic lung disease, characterized by increased Th2 cytokine generation, immunoglobulin E (IgE) and IgG production, eosinophilia, airway hyperresponsiveness, and airway remodeling.In humans, ABPM is caused largely by molds and includes significant involvement of the bronchi, where hyphae can be seen. To date, there is no mouse model that recapitulates all of the aspects of this disease. Aspergillus fumigatus, the most common cause of ABPM in humans, has not been reported to cause the same disease in mice. Allergic responses can be generated by repeated exposure to A. fumigatus antigen or conidia if the animal is primed, but it is impossible to establish A. fumigatus colonization in these mice similar to that seen in humans. In C57BL/6 mice, C. neoformans will induce an allergic response in the lungs and the pulmonary infection becomes chronic with the fungal load driving the allergic response (3,16). This is a very similar response to ABPM in humans, with two notable exceptions: a relative lack of bronchial involvement...