h Cryptococcosis due to a highly virulent fungus, Cryptococcus gattii, emerged as an infectious disease on Vancouver Island in Canada and surrounding areas in 1999, causing deaths among immunocompetent individuals. Previous studies indicated that C. gattii strain R265 isolated from the Canadian outbreak had immune avoidance or immune suppression capabilities. However, protective immunity against C. gattii has not been identified. In this study, we used a gain-of-function approach to investigate the protective immunity against C. gattii infection using a dendritic cell (DC)-based vaccine. Bone marrow-derived dendritic cells (BMDCs) efficiently engulfed acapsular C. gattii (⌬cap60 strain), which resulted in their expression of costimulatory molecules and inflammatory cytokines. This was not observed for BMDCs that were cultured with encapsulated strains. When ⌬cap60 strain-pulsed BMDCs were transferred to mice prior to intratracheal R265 infection, significant amelioration of pathology, fungal burden, and the survival rate resulted compared with those in controls.
Inhalation of the airborne fungal pathogens Cryptococcus neoformans and Cryptococcus gattii causes life-threatening infectious diseases despite treatment with antifungal drugs. These two species are genetically close, although they have some distinct features. C. neoformans typically causes fatal infections, such as meningitis, in immunocompromised hosts, whereas C. gattii causes similar infections in immunocompetent hosts. Although cryptococcosis caused by C. gattii is endemic in tropical areas, such as Australia and Papua New Guinea, outbreaks of C. gattii, including fatalities among healthy individuals, were reported on Vancouver Island and surrounding areas beginning in 1999 (1, 2). In response to this, the Centers for Disease Control and Prevention (CDC) of the United States and British Columbia organized a public health working group to promote awareness of this outbreak (3-5).Using mouse pulmonary infection models, two groups independently showed that C. gattii strain R265, which was clinically isolated during the Canadian outbreak, was more virulent than C. neoformans strain H99, which is frequently studied (6, 7). Although the mechanisms for its hypervirulence remain unknown, there is evidence that C. gattii induces a less severe inflammatory response than that induced by C. neoformans infection. Histological and flow cytometry analyses showed reduced migration of inflammatory cells into the lungs of mice infected with R265 compared with those infected with H99 (7-9). Additionally, a smaller amount of inflammatory cytokines was found in the lungs of mice infected with C. gattii (9) and in the cerebrospinal fluid of humans infected with C. gattii (10,11). These findings suggest that C. gattii has a superior ability to suppress or evade the inflammatory response.Previous studies indicated that one of the capsular components of C. gattii may have been involved in immune avoidance or immune suppression and was required for the complete virulence of...