Anti-CD25 Treatment Depletes Treg Cells and Decreases Disease Severity in Susceptible and Resistant Mice Infected with Paracoccidioides brasiliensis

Regulatory T (Treg) cells are fundamental in the control of immunity and excessive tissue pathology. In paracoccidioidomycosis, an endemic mycosis of Latin America, the immunoregulatory mechanisms that control the progressive and regressive forms of this infection are poorly known. Due to its modulatory activity on Treg cells, we investigated the effects of anti-CD25 treatment over the course of pulmonary infection in resistant (A/J) and susceptible (B10.A) mice infected with Paracoccidioides brasiliensis. We verified that the resistant A/J mice developed higher numbers and more potent Treg cells than susceptible B10.A mice. Compared to B10.A cells, the CD4(+)CD25(+)Foxp3(+) Treg cells of A/J mice expressed higher levels of CD25, CTLA4, GITR, Foxp3, LAP and intracellular IL-10 and TGF-beta. In both resistant and susceptible mice, anti-CD25 treatment decreased the CD4(+)CD25(+)Foxp3(+) Treg cell number, impaired indoleamine 2,3-dioxygenase expression and resulted in decreased fungal loads in the lungs, liver and spleen. In A/J mice, anti-CD25 treatment led to an early increase in T cell immunity, demonstrated by the augmented influx of activated CD4(+) and CD8(+) T cells, macrophages and dendritic cells to the lungs. At a later phase, the mild infection was associated with decreased inflammatory reactions and increased Th1/Th2/Th17 cytokine production. In B10.A mice, anti-CD25 treatment did not alter the inflammatory reactions but increased the fungicidal mechanisms and late secretion of Th1/Th2/Th17 cytokines. Importantly, in both mouse strains, the early depletion of CD25(+) cells resulted in less severe tissue pathology and abolished the enhanced mortality observed in susceptible mice. In conclusion, this study is the first to demonstrate that anti-CD25 treatment is beneficial to the progressive and regressive forms of paracoccidioidomycosis, potentially due to the anti-CD25-mediated reduction of Treg cells, as these cells have suppressive effects on the early T cell response in resistant mice and the clearance mechanisms of fungal cells in susceptible mice.Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)Conselho Nacional de Pesquisas (CNPq)Conselho Nacional de Pesquisas (CNPq

In pulmonary paracoccidioidomycosis IL-10 deficiency leads to increased immunity and regressive infection without enhancing tissue pathology

BACKGROUND: \ud Cellular immunity is the main defense mechanism in paracoccidioidomycosis (PCM), the most important systemic mycosis in Latin America. Th1 immunity and IFN-γ activated macrophages are fundamental to immunoprotection that is antagonized by IL-10, an anti-inflammatory cytokine. Both in human and experimental PCM, several evidences indicate that the suppressive effect of IL-10 causes detrimental effects to infected hosts. Because direct studies have not been performed, this study was aimed to characterize the function of IL-10 in pulmonary PCM.\ud METHODOLOGY/PRINCIPAL FINDINGS: \ud Wild type (WT) and IL-10(-/-) C57BL/6 mice were used to characterize the role of IL-10 in the innate and adaptive immunity against Paracoccidioides brasiliensis (Pb) infection. We verified that Pb-infected peritoneal macrophages from IL-10(-/-) mice presented higher phagocytic and fungicidal activities than WT macrophages, and these activities were associated with elevated production of IFN-γ, TNF-α, nitric oxide (NO) and MCP-1. For in vivo studies, IL-10(-/-) and WT mice were i.t. infected with 1×10(6) Pb yeasts and studied at several post-infection periods. Compared to WT mice, IL-10(-/-) mice showed increased resistance to P. brasiliensis infection as determined by the progressive control of pulmonary fungal loads and total clearance of fungal cells from dissemination organs. This behavior was accompanied by enhanced delayed-type hypersensitivity reactions, precocious humoral immunity and controlled tissue pathology resulting in increased survival times. In addition, IL-10(-/-) mice developed precocious T cell immunity mediated by increased numbers of lung infiltrating effector/memory CD4(+) and CD8(+) T cells. The inflammatory reactions and the production of Th1/Th2/Th17 cytokines were reduced at late phases of infection, paralleling the regressive infection of IL-10(-/-) mice.\ud CONCLUSIONS/SIGNIFICANCE: \ud Our work demonstrates for the first time that IL-10 plays a detrimental effect to pulmonary PCM due to its suppressive effect on the innate and adaptive immunity resulting in progressive infection and precocious mortality of infected hosts.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP, 04/14518-2)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP, 2011/51258-2)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP, 2010/52275-5)CAPE

IDO controls the fungal loads and cellular immunity in pulmonary paracoccidiodomycosis developed by susceptible and resistant mice to the fungus.

Indolamina-2,3-dioxigenase (IDO) e o catabolismo do triptofano estão envolvidos no controle da imunidade inata e adaptativa contra patógenos. Investigamos o papel da IDO na paracoccidiodomicose pulmonar (PCM) de animais suscetíveis (B10.A) e resistentes (A/J) ao fungo. Observou-se uma ação marcante da IDO ao início da doença de camundongos B10.A onde a enzima controla a carga fúngica mas, também, induz anergia de células TCD4+ e TCD8+, creditada em parte à expansão de células Treg e aumento de linfócitos em apoptose. Em camundongos A/J, a IDO controla a carga fúngica inicial, porém, o seu efeito supressor sobre linfócitos TCD4+ é somente observado na 8ª semana. Assim como em camundongos B10.A, a IDO mostrou-se indutora de células Treg e linfócitos em apoptose durante a imunidade desenvolvida por camundongos A/J. Em conclusão, foi demonstrado pela primeira vez que a IDO exerce um importante mecanismo microbicida e imunorregulador na PCM de hospedeiros resistentes e suscetíveis ao P. brasiliensis.Indoleamine-2, 3-dioxygenase (IDO) and tryptophan catabolism are involved in the control of innate and adaptive immunity against pathogens. We investigated the role of IDO in the pulmonary paracoccidiodomycosis developed by susceptible (B10.A) and resistant (A/J) mice to the fungus. We verified that IDO plays a different effect in innate the immunity of B10.A and A/J mice. Early in the infection, IDO controlled the fungal loads but also induced anergy of CD4+ and CD8+ T cells of B10.A mice. T cell anergy was partially due to the expansion of Treg cells and increased apoptosis of lymphocytes. In resistant mice, IDO controlled the initial fungal loads, but exerted a suppressive effect on T lymphocytes only at week 8. As in B10.A mice IDO was shown to induce Treg cells and apoptosis of lymphocytes in the course of immune response developed by resistant mice. In conclusion our work showed for the first time that IDO play an important role in the fungicidal and immunoregulatory mechanisms developed by susceptible and resistant mice to P. brasiliensis infection

Influence of the enzyme indolamine-2 ,3-dioxygenase in the differentiation and function of regulatory T and dendritic cells in the paracoccidioidomycosis of susceptible and resistant mice to Paracoccidioides brasiliensis.

Paracoccidioidomicose é adquirida pela via respiratória e a enzima indolamina-2,3-dioxigenase (IDO) e o catabolismo do triptofano estão envolvidos no controle da imunidade inata e adaptativa contra patógenos. Investigamos o papel da IDO na doença em animais suscetíveis (B10.A) e resistentes (A/J). Caracterizamos o efeito do tratamento com 1-Metil-DL-Triptofano (1MT) no fenótipo e comportamento de células dendríticas (DCs) e T reguladoras (Tregs) de A/J e B10.A quanto à expressão de IDO. IDO controla a carga fúngica de A/J e B10.A, reduzindo a imunidade de TCD4 e TCD8 e aumentando Tregs. Constatamos que IDO diminuiu a migração de DCs para o pulmão de A/J e B10.A e a inibição da atividade anti-inflamatória de IDO por 1MT tem um efeito deletério somente em B10.A cuja suscetibilidade é ligada à excessiva atividade pró-inflamatória. A infecção de A/J e B10.A parece induzir as funções catalítica e sinalizadora de IDO.Grande parte da função de IDO nos mecanismos imunorreguladores na paracoccidioidomicose se faz através da modulação da função de DCs em A/J e B10.A.Paracoccidioidomycosis is acquired by the respiratory route and the enzyme indoleamine-2,3-dioxygenase (IDO) and tryptophan catabolism are involved in the control of innate and adaptive immunity against pathogens. We investigated the role of IDO in the infection in susceptible (B10.A) and resistant (A/J) mice. We characterized the effect of treatment with 1-Methyl-DL-Tryptophan (1MT) in the behavior and phenotype of dendritic cells (DCs) and regulatory T cells (Tregs) from A/J and B10.A for expression of IDO. IDO controls the fungal load in A/J and B10.A, reducing the immunity of CD4 and CD8 T cells and Tregs increased. IDO decreased the migration of DCs to the lung of A/J and B10.A and inhibition of anti-inflammatory activity of IDO by 1MT has a deleterious effect only in B10.A whose susceptibility is linked to excessive proinflammatory activity. Infection of A/J and B10.A appears to induce catalytic functions of IDO. Much of the function IDO immunoregulatory mechanisms paracoccidioidomycosis is done by modulating the function of DCs in A/J and B10.A

CD28 Exerts Protective and Detrimental Effects in a Pulmonary Model of Paracoccidioidomycosis▿

T-cell immunity has been claimed as the main immunoprotective mechanism against Paracoccidioides brasiliensis infection, the most important fungal infection in Latin America. As the initial events that control T-cell activation in paracoccidioidomycosis (PCM) are not well established, we decided to investigate the role of CD28, an important costimulatory molecule for the activation of effector and regulatory T cells, in the immunity against this pulmonary pathogen. Using CD28-deficient (CD28−/−) and normal wild-type (WT) C57BL/6 mice, we were able to demonstrate that CD28 costimulation determines in pulmonary paracoccidioidomycosis an early immunoprotection but a late deleterious effect associated with impaired immunity and uncontrolled fungal growth. Up to week 10 postinfection, CD28−/− mice presented increased pulmonary and hepatic fungal loads allied with diminished production of antibodies and pro- and anti-inflammatory cytokines besides impaired activation and migration of effector and regulatory T (Treg) cells to the lungs. Unexpectedly, CD28-sufficient mice progressively lost the control of fungal growth, resulting in an increased mortality associated with persistent presence of Treg cells, deactivation of inflammatory macrophages and T cells, prevalent presence of anti-inflammatory cytokines, elevated fungal burdens, and extensive hepatic lesions. As a whole, our findings suggest that CD28 is required for the early protective T-cell responses to P. brasiliensis infection, but it also induces the expansion of regulatory circuits that lately impair adaptive immunity, allowing uncontrolled fungal growth and overwhelming infection, which leads to precocious mortality of mice

Treg cells from resistant mice have a higher suppressive potency than those of susceptible mice.

<p>CFSE-labeled responder CD4⁺CD25⁻ T cells from naïve mice were stimulated by irradiated naïve APCs plus anti-CD3 antibodies and cultured in the presence or absence of several ratios of CD25⁺ T cells obtained from lungs of resistant and susceptible mice at weeks 2 (A) and 10 (B) after infection with 1×10⁶<i>P.brasiliensis</i> yeasts. Cells were cultured for 5 days and the proliferative response of CFSE-labeled cells was measured by flow cytometry. The proliferation index (PI) was calculated as describe in <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0051071#s2" target="_blank">materials and methods</a> and the percentage of inhibition considered as 100% the PI of APC-stimulated CD4⁺CD25⁻ responder cells in the absence of CD4⁺CD25⁺ cells. The data represent the mean ± SEM of the results from 6 mice per group and are representative of two independent experiments. * (<i>P</i><0.05), ** (<i>P</i><0.01), and *** (<i>P</i><0.001) compared with A/J mice.</p

TNF-alpha and CD8(+) T Cells Mediate the Beneficial Effects of Nitric Oxide Synthase-2 Deficiency in Pulmonary Paracoccidioidomycosis

Background: Nitric oxide (NO), a key antimicrobial molecule, was previously shown to exert a dual role in paracoccidioidomycosis, an endemic fungal infection in Latin America. in the intravenous and peritoneal models of infection, NO production was associated with efficient fungal clearance but also with non-organized granulomatous lesions. Because paracoccidioidomycosis is a pulmonary infection, we aimed to characterize the role of NO in a pulmonary model of infection.Methodology/Principal Findings: C57Bl/6 wild type (WT) and iNOS(-/-) mice were i.t. infected with 1x10(6) Paracoccidioides brasiliensis yeasts and studied at several post-infection periods. Unexpectedly, at week 2 of infection, iNOS(-/-) mice showed decreased pulmonary fungal burdens associated with an M2-like macrophage profile, which expressed high levels of TGF-beta impaired ability of ingesting fungal cells. This early decreased fungal loads were concomitant with increased DTH reactions, enhanced TNF-alpha synthesis and intense migration of activated macrophages, CD4(+) and CD8(+) T cells into the lungs. By week 10, iNOS(-/-) mice showed increased fungal burdens circumscribed, however, by compact granulomas containing elevated numbers of activated CD4(+) T cells. Importantly, the enhanced immunological reactivity of iNOS(-/-) mice resulted in decreased mortality rates. in both mouse strains, depletion of TNF-alpha led to non-organized lesions and excessive influx of inflammatory cells into the lungs, but only the iNOS(-/-) mice showed increased mortality rates. in addition, depletion of CD8(+) cells abolished the increased migration of inflammatory cells and decreased the number of TNF-alpha and IFN-gamma CD4(+) and CD8(+) T cells into the lungs of iNOS(-/-) mice.Conclusions/Significance: Our study demonstrated that NO plays a deleterious role in pulmonary paracoccidioidomycosis due to its suppressive action on TNF-alpha production, T cell immunity and organization of lesions resulting in precocious mortality of mice. It was also revealed that uncontrolled fungal growth can be overcome by an efficient immune response.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Univ São Paulo, Inst Ciencias Biomed, Dept Imunol, BR-05508 São Paulo, BrazilUniversidade Federal de São Paulo, Dept Microbiol Imunol & Parasitol, São Paulo, BrazilHosp Sirio Libanes São Paulo, Dept Patol, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Microbiol Imunol & Parasitol, São Paulo, BrazilFAPESP: 04/14518-2FAPESP: 2011/51258-2Web of Scienc

Anti-CD25 treatment increases the influx of inflammatory cells to the lungs of resistant but not susceptible mice to <i>P. brasiliensis</i> infection.

<p>Anti-CD25-treated and untreated A/J and B10.A mice were inoculated i.t. with 1×10⁶<i>P. brasiliensis</i> yeast cells. At weeks 2 and 10 of infection lungs of both mouse strains (n = 6) were excised, minced, and digested enzymatically. Lung cells suspensions were obtained, counted, stained for CD3 (T cells), CD19 (B cells) and GR1 (myeloid cells, including neutrophils and monocytes) by flow cytometry. Anti-CD25 treatment significantly alters the number (A) but not the frequency of inflammatory cells in the lungs (B) of infected mice. At week 2, anti-CD25-treated A/J mice showed increased influx of T cells, B cells and myeloid cells, whereas at week 10 these populations appeared in decreased numbers (C, D). In B10.A mice only GR1⁺ cells appeared in decreased numbers at week 10 of infection (C, D). The data represent the mean ± SEM of the results from 6–8 mice per group and are representative of two independent experiments. * (<i>P</i><0.05), ** (<i>P</i><0.01), and *** (<i>P</i><0.001) compared with IgG-treated mice.</p

At week 2 after infection lungs from anti-CD25 treated mice presented decreased levels of IL-10, TGF-ß and GM-CSF, but at week 10 increased levels of Th1-, Th2-, and Th17-associated cytokines.

<p>At weeks 2 and 10 after i.t. infection with 1×10⁶ yeast cells of <i>P. brasiliensis</i>, lungs from anti-CD25 treated and untreated A/J and B10.A mice were collected, disrupted in 5.0 ml of PBS and supernatants analyzed for cytokines content by capture ELISA. (A, B, and C) Th1, Th2 and Th17 cytokines at week 2 of infection, respectively. (D, E, and F) Th1, Th2 and Th17 cytokines at week 10 of infection, respectively. The bars depict means ± SEM of cytokine levels (6–8 per group). The results are representative of two independent experiments. * (<i>P</i><0.05), ** (<i>P</i><0.01), and *** (<i>P</i><0.001) compared with IgG treated controls or the susceptible strain.</p