Cryptococcus neoformans (CN), an encapsulated, ubiquitous environmental yeast, is pathogenic for humans, primarily those with compromised immune function. CN is believed to be a facultative intracellular pathogen. Time-lapsed video microscopy revealed that yeast began to replicate and divide 2 hours after ingestion by J774.16 macrophage cells, with the average cell hosting 10 -40 organisms of varying morphologies before ultimately lysing and releasing organisms, either singly or in clumps. Intracellular growth was accompanied by the accumulation of polysaccharide-filled vesicles in the macrophage. Studies with fluorescently labeled dextran revealed that the phagolysosomal compartment became leaky during the course of intracellular infection. Consistent with this observation, phagosomes containing CN had an increased pH relative to similar phagosomes containing inert magnetic beads, as indicated by a colorimetric change in the pH-sensitive Lysosensor dye. Immunocytochemistry revealed differences in the reactivity of polysaccharide elaborated by CN inside macrophages relative to that expressed in vitro. Taken together these results are suggestive of a novel mechanism of intracellular survival by an encapsulated organism, whereby ingestion is followed by damage to the phagosomal membrane resulting in continuity with the cytoplasm, accumulation of polysaccharide-containing vesicles, and possibly, production of a structurally different polysaccharide.
Cryptococcus neoformans (CN) is the causative agent of cryptococcosis, a disease that predominantly afflicts immunocompromised hosts but that can occur in healthy individuals as well (reviewed in ref. 1). This yeast is ubiquitous in the environment and is acquired through inhalation of desiccated particles. Infection may be accompanied by dissemination and clinical disease that usually manifests itself as meningitis. The available antifungal therapy is often inadequate for eradicating the infection in individuals with impaired immune function. With the AIDS epidemic and advances in organ transplant technology, there has been an ever increasing population of individuals with compromised immunity, resulting in a large pool of susceptible individuals.CN is unique among the pathogenic fungi in that it has a polysaccharide capsule that is required for virulence. The capsule is antiphagocytic under in vitro conditions without opsonins and immunosuppressive in vivo. The role of the capsule in promoting virulence is complex and includes immunosuppressive effects resulting from shed polysaccharides (reviewed in ref. 1). After ingestion, CN elaborates its capsule, resulting in larger phagosomes. This action potentially serves to dilute lysosomal contents and it provides a physical separation between the surfaces of the yeast cell and the phagosomal membrane where microbicidal compounds are released. However, electron microscopic studies of infected tissue suggest that the capsule may actively function as an intracellular aggressin. CN sheds its polysaccharide in the intracellular...