Invariant NKT (iNKT) cells play an important role in a variety of antimicrobial immune responses due to their ability to produce high levels of immune-modulating cytokines.Here, we investigated the role of iNKT cells in host defense against candidiasis using Jα18-deficient mice (Jα18 −/− ), which lack iNKT cells. Jα18 −/− mice were more resistant to the development of lethal candidiasis than wild-type (WT) mice. In contrast, treatment of WT mice with the iNKT cell activating ligand α-galactosylceramide markedly enhanced their mortality after infection with Candida albicans. Serum IL-10 levels were significantly elevated in WT mice in response to infection with C. albicans. Futhermore, IL-10 production increased after in vitro coculture of peritoneal macrophages with iNKT cells and C. albicans. The numbers of peritoneal macrophages, the production of IL-1β and IL-18, and caspase-1 activity were also significantly elevated in Jα18 −/− mice after infection with C. albicans. The adoptive transfer of iNKT cells or exogenous administration of IL-10 into Jα18 −/− reversed susceptibility to candidiasis to the level of WT mice. These results suggest that activation of iNKT cells increases the initial severity of C. albicans infection, most likely mediated by IL-10 induced modulation of macrophage antifungal activity.Keywords: Candidiasis r IL-10 r Inflammasome r iNKT cells r Macrophages Additional supporting information may be found in the online version of this article at the publisher's web-site
IntroductionCandida species, and most commonly Candida albicans, are opportunistic fungal pathogens that cause most of the widespread nosocomial bloodstream infections worldwide [1,2]. Candida albicans is part of the normal microbial flora in human beings and domesCorrespondence: Dr. Yukio Ishii e-mail: ishii-y@md.tsukuba.ac.jp tic animals. However, under conditions of immune dysfunction, C. albicans switches from a commensal to a pathogenic organism capable of infecting a variety of tissues and can subsequently cause fatal systemic diseases [3,4].Several host factors, including both the innate and adaptive immune systems, are required for the control of C. albicans infection [5][6][7] defense against systemic C. albicans infection while T cells are critical for controlling mucocutaneous C. albicans infection [7][8][9]. With regard to T-cell immunity, resistance to C. albicans was long considered to be mediated by Th1 immunity because Th1 cytokines, including IFN-γ and TNF-α, activate macrophages and neutrophils to enter a candidacidal state, and Th2 cytokines, such as IL-4 and IL-13, inhibit Th1 development and deactivate phagocytic effector cells [10,11]. Several recent studies have revealed that Th17 cells plays an essential role in immunity to C. albicans, especially immunity to mucocutaneous candidiasis, via the production of IL-17 that acts on epithelial and mesenchymal cells to induce neutrophil-attracting chemokines [9,12,13]. Natural killer T (NKT) cells are an unconventional type of T cell that expresses both TCRs and...