Inflammation is a major cause of respiratory impairment during Pneumocystis pneumonia. Studies support a significant role for cell wall -glucans in stimulating inflammatory responses. Fungal -glucans are comprised of D-glucose homopolymers containing -1,3-linked glucose backbones with -1,6-linked glucose side chains. Prior studies in Pneumocystis carinii have characterized -1,3 glucan components of the organism. However, recent investigations in other organisms support important roles for -1,6 glucans, predominantly in mediating host cellular activation. Accordingly, we sought to characterize -1,6 glucans in the cell wall of Pneumocystis and to establish their activity in lung cell inflammation. Immune staining revealed specific -1,6 localization in P. carinii cyst walls. Homology-based cloning facilitated characterization of a functional P. carinii kre6 (Pckre6) -1,6 glucan synthase in Pneumocystis that, when expressed in kre6-deficient Saccharomyces cerevisiae, restored cell wall stability. Recently synthesized -1,6 glucan synthase inhibitors decreased the ability of isolated P. carinii preparations to generate -1,6 carbohydrate. In addition, isolated -1,6 glucan fractions from Pneumocystis elicited vigorous tumor necrosis factor alpha (TNF-␣) responses from macrophages. These inflammatory responses were significantly dampened by inhibition of host cell plasma membrane microdomain function. Together, these studies indicate that -1,6 glucans are present in the P. carinii cell wall and contribute to lung cell inflammatory activation during infection. P neumocystis organisms are opportunistic fungi that produce significant morbidity and mortality in immunocompromised hosts, with infection-related fatalities ranging between 10% and 45% (1). Pneumocystis jirovecii is the species known to infect humans, while Pneumocystis carinii represents the parallel species studied widely in rodents (2). Pneumocystis pneumonia remains a significant cause of mortality during AIDS, despite highly active antiretroviral therapy (3-5). Severe Pneumocystis pneumonia is characterized by intense lung inflammation involving CD8 ϩ cells and neutrophils, impairing gas exchange (6-9).The P. carinii cell walls contain abundant -glucan molecules (10). Fungal cell wall -glucans are homopolymers of D-glucose consisting of -1,3 core chains with variable numbers of -1,6 glucose side chains. The variable inflammatory activities of different glucan preparations have been postulated to be related to the relative amounts and configurations of these two major structures (-1,3 versus -1,6) (11). Almost all of the initial studies in fungi have largely focused on unfractionated glucans (10). In fact, all prior studies in P. carinii previously utilized only unfractionated -1,3/-1,6 glucans. Interestingly, recent investigations in Saccharomyces cerevisiae indicate major roles for -1,6 glucans in strongly mediating cellular activation and inflammation (11). Our investigations of unfractionated P. carinii -glucans indicate that innate ...