An increased understanding of the importance of microbiota in shaping the host's immune and metabolic activities has rendered fungal interactions with their hosts more complex than previously appreciated. The aryl hydrocarbon receptor (AhR) has a pivotal role in connecting tryptophan catabolism by microbial communities and the host's own pathway of tryptophan metabolite production with the orchestration of T-cell function. AhR activation by a Lactobacillus-derived AhR ligand leads to the production of IL-22 to the benefit of mucosal defense mechanisms, an activity upregulated in the absence of the host tryptophan catabolic enzyme, indoleamine 2,3-dioxygenase 1 (IDO1), which is required for protection from fungal diseases ("disease tolerance"). As AhR activation in turn leads to the activation-in a feedback fashion-of IDO1, the regulatory loop involving AhR and IDO1 may have driven the coevolution of commensal fungi with the mammalian immune system and the microbiota, to the benefit of host survival and fungal commensalism. This review will discuss the essential help the microbiota provides in controlling the balance between the dual nature of the fungal-host relationship, namely, commensalism vs. infection.
Keywords:Aryl hydrocarbon receptor r Indoleamine 2,3-dioxygenase 1 r IL-22 r Microbiota r Mycobiome r Tryptophan
IntroductionThe role of commensal fungi (referred to as the mycobiome, reviewed in [1][2][3] in educating the immune system in health and disease has been increasingly appreciated (reviewed in [4]). Such a long-established commensalism indicates that commensal fungi are an integral part of the eukaryotic host. To date, the human fungal community has been shown to be comprised of Candida and Malassezia on mucosal surfaces, skin, and oral cavity, Pneumocystis jirovecii, a lung commensal, and consensus members of the basal human salivary mycobiome includCorrespondence: Prof. Luigina Romani e-mail: luigina.romani@unipg.it ing Candida/Pichia, Cladosporium/Davidiella, Alternaria/Lewia, Aspergillus/Emericella/Eurotium, Fusarium/Gibberella, Cryptococcus/Filobasidiella, and Aureobasidium [1,[5][6][7]. Given that different body sites harbor specific fungal populations, unique mycobiome patterns are associated with various diseases. By interfacing with the microbiome, as well as with its host, the mycobiome plays an important role in health and disease, most likely by regulating immune reactivity at mucosal surfaces where an integration of physical and metabolic factors is of fundamental importance (reviewed in [1,8,9]). Indeed, owing to their capacity to activate immune responses, commensal fungi have been shown to influence immune reactions at local [10][11][12] and distal sites [13,14], such as in colitis and allergy in the airways. Conversely, owing to microbial dysbiosis or defects in the innate or adaptive immune systems, commensal fungi may shift from commensalism to parasitism, and they may cause severe fungal infections andwww.eji-journal.eu Eur. J. Immunol. 2014. 44: 3192-3200 HIGHLIGHTS 3193dise...