A C126R de novo Mutation in CYBB Leads to X-linked Chronic Granulomatous Disease With Recurrent Pneumonia and BCGitis

Chronic granulomatous disease (CGD) is an innate immune deficiency of phagocytic cells caused by mutations that affect components of the NADPH oxidase system, with resulting impairment in reactive oxygen species production. Patients with CGD are susceptible to recurrent infections and hyperinflammatory responses. Mutations in CYBB lead to the X-linked form of CGD and are responsible for ~ 70% of cases. In this study, we report the case of a 2.5-year-old male patient with recurrent pneumonia and Bacillus Calmette-Guérin infection (BCGitis). As his first clinical manifestation, he presented with bullous impetigo at 18 days of age, which was followed by recurrent pneumonia and regional BCGitis. Genetic analysis revealed a de novo mutation in exon 5 of the CYBB gene: a single-nucleotide substitution, c.376T > C, leading to a C126R change

Role of interplay between IL-4 and IFN-gamma in the in regulating M1 macrophage polarization induced by Nattectin

Recently our group described that Nattectin, a C-type lectin of the venom of Thalassophryne nattereri shows a potent pro-inflammatory capacity. Here, we demonstrated that Nattectin is able to induce M1 macrophage marker iNOS, and up-regulate the expression of MHC class II, CD80, CD86 and CD40 molecules. the increase in MHC class II and CD49a integrin expression with MMP-9 production and endocytic capacity depend on lectin function of Nattectin. Moreover, the polarization of peritoneal and bone marrow-derived macrophages induced by Nattectin to M1 profile is dependent on Th1 cytokines (IL-12 and IFN-gamma), and negatively regulated by Th2 cytokines (IL-4, IL-10 and IL-13). Also we reveal that IL-4 play a dual role in this polarization: a regular action of IL-4 was seen in the negative regulation of the CD40 expression, but an unexpected positive regulation was seen in the expression of CCR7 and MHC class II. Finally, our in vivo studies showed that the influx of neutrophils and small peritoneal macrophage - F4/80(low)MHCII(hi) induced by Nattectin is totally dependent on IL-4 and IFN-gamma cytokines. Furthermore, the induction of IL-6 release is negatively regulated by IL-4 and positively regulated by IL-12 and IFN-gamma. Together, the results allowed us to expand the knowledge about the regulation of macrophage activation, as well as confirmed the ability of Nattectin, a fish C-type lectin, as an important immunomodulatory agent. (c) 2012 Elsevier B.V. All rights reserved.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Inst Butantan, Unidade Imunorregulacao, Lab Especial Toxinol Aplicada, BR-05503900 São Paulo, BrazilUniversidade Federal de São Paulo, Mol Immunol Innate Recognit Unit, Dept Biol Sci, São Paulo, BrazilUniversidade Federal de São Paulo, Mol Immunol Innate Recognit Unit, Dept Biol Sci, São Paulo, BrazilWeb of Scienc

Modulation of macrophage function by Nattectin: a C-type lectin from Thalassophryne nattereri fish venom.

A Nattectina é uma toxina isolada do veneno de Thalassophryne nattereri que possui homologia com lectinas tipo C. Este estudo consistiu em avaliar a ação da Nattectina sobre as funções de macrófagos e a influência de citocinas Th1/Th2 nessa ativação. Nossos resultados mostram que a Nattectina induziu o aumento da expressão de moléculas coestimuladoras dependente da sinalização MAPK p38 e PI3K em macrófagos derivados da medula óssea, e também um aumento na capacidade endocítica e expressão de MHC de classe II dependentes da sinalização ERK1/2 e da ligação da Nattectina ao carboidrato. Verificamos ainda que alterações induzida pela Nattectina nos macrófagos são consistentes com a ativação clássica M1 dependente de IL-12 e IFN-g, e regulada negativamente por IL-4, IL-10 e IL-13. Por fim, verificamos uma ação coadjuvante da IL-4 com IFN-g na mobilização de SPMs (Small Peritoneal Macrophages) para cavidade peritoneal e na ativação de macrófagos. Dessa forma, a Nattectina pode ser considerada um importante agente imunomodulador capaz de modular as funções de macrófagos.Nattectin is a toxin isolated from Thalassophryne nattereri fish venom that has homology with C-type lectin. This study was carried out to evaluate the action of Nattectin on macrophage functions and the influence of Th1/Th2 cytokines in this activation. Our results show that Nattectin induced the increased expression of costimulatory molecules dependent on MAPK p38 and PI3K signaling in bone marrow-derived macrophages, and also an increase in endocytic capacity and MHC class II expression dependent on ERK1/2 signaling and binding of Nattectin to carbohydrate. We also found that modifications induced by Nattectin in macrophages are consistent with classical (M1) activation of macrophages dependent on IL-12 and IFN-g cytokines, and negatively regulated by IL-4, IL-10 and IL-13. Finally, it was demonstrated an adjuvant role of IL-4 with IFN-g in mobilization of SPMs (Small Peritoneal Macrophages) to peritoneal cavity and also in macrophage activation. Thus, Nattectin can be considered an important immunomodulatory agent able to modulate macrophage functions

Modulation of Toll like receptors responses by PAF-R activation in murine macrophages.

Receptores do tipo Toll (TLRs) e o receptor do fator ativador de plaquetas (PAF-R) são altamente expressos em macrófagos. Neste estudo, investigamos o efeito da ativação do PAF-R na resposta de macrófagos peritoneais a agonistas de TLR. Descobrimos que PAF exógeno inibiu a produção de citocinas pró-inflamatórias (IL-6, IL-12p40 e TNF-α) e aumentou a produção de IL-10 em macrófagos estimulados com Pam3Cys (TLR2) e LPS (TLR4), mas não Poly(I:C) (TLR3). PAF não afetou a expressão de MyD88 e TRIF, sugerindo que o efeito do PAF na modulação das citocinas é downstream aos adaptadores. PAF inibiu a fosforilação induzida por LPS da subunidade p65 do NF-κB que direciona a expressão de genes pró-inflamatórios, e aumentou a fosforilação da proteína precursora p105 do NF-κB, que induz a expressão da IL-10. Esses resultados indicam que em macrófagos ativados com LPS, a diminuição da atividade transcricional da p65 e o aumento da fosforilação da p105 induzidos pelo PAF são responsáveis pela downregulation das citocinas pró-inflamatórias e upregulation da IL-10, respectivamente.Toll-like receptors (TLRs) and platelet-activating factor receptor (PAF-R) are highly expressed in macrophages. In this work, we investigated the effect of PAF-R activation on peritoneal macrophages responses to TLR agonists. We found that exogenous PAF inhibited the production of pro-inflammatory cytokines (IL-12p40, IL-6 and TNF-α) and increased IL-10 in macrophages challenged with Pam3Cys (TLR2) and LPS (TLR4), but not by Poly(I:C) (TLR3). PAF did not affect MyD88 and TRIF expression, suggesting that PAF modulation on cytokines is downstream to adaptors. PAF inhibited LPS-induced phosphorylation of NF-κB p65 that drives inflammatory cytokine gene expression and increased NF-κB p105 precursor phosphorylation, which induces IL-10 expression. These findings indicate that in LPS-activated macrophages, the impaired transcriptional activity of p65 subunit and enhanced p105 phosphorylation induced by PAF are responsible for the downregulation of pro-inflammatory cytokines and up-regulation of IL-10, respectively