Abstract

Pulmonary infections with Aspergillus fumigatus (Af) are a significant cause of invasive fungal disease and lead to high morbidity and mortality in diverse populations throughout the world. Currently available antifungal drugs are often ineffective, thus contributing to unacceptably high mortality rates in patients suffering from invasive fungal infections. The use of cytokines as adjunctive immune therapies holds the promise of significantly improving patient outcomes in the future. In recent studies, we identified an essential role for type I and III interferons as regulators of optimal antifungal responses by pulmonary neutrophils during infection with Af. Although various membrane and cytosolic nucleic acid sensors are known to regulate interferon production in response to viruses, the pathways that regulate the production of these cytokines during fungal infection remain uncovered. In the current study, we demonstrate that dectin-1-mediated recognition of β-glucan on the cell wall of the clinically relevant fungal pathogen Aspergillus fumigatus promotes the activation of a protective cascade of type I and III interferon expression. We further demonstrate that exogenous administration of type I and III interferons can rescue inadequate antifungal responses in dectin-1−/− mice, suggesting the potential therapeutic benefit of these cytokines as activators of antifungal defense in the context of innate defects.

Highlights

  • Fungal infections affect close to one billion individuals worldwide, with a range of diseases spanning mild or superficial skin infections to invasive or chronic infections that can become life-threatening (Bongomin et al, 2017)

  • Since β-glucan is the best characterized pathogenassociated molecular patterns (PAMPs) exposed during Aspergillus fumigatus (Af) germination, we investigated whether dectin-1mediated recognition was involved in the induction of type III IFN production

  • We uncovered that the optimal production of type I and III IFNs in response to pulmonary infection with Af requires intact dectin-1 signaling

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Summary

INTRODUCTION

Fungal infections affect close to one billion individuals worldwide, with a range of diseases spanning mild or superficial skin infections to invasive or chronic infections that can become life-threatening (Bongomin et al, 2017). Previous observations suggest that recognition of β-glucan on the surface of germinating Aspergillus by dectin-1 is a critical early step in initiating anti-fungal immune responses (Hohl et al, 2005; Steele et al, 2005; Gersuk et al, 2006; Werner et al, 2009; Rivera et al, 2011). The importance of NADPH oxidase in host defense is best illustrated in patients suffering from chronic granulomatous disease (CGD) These individuals lack or have impaired NADPH function, and frequently contract severe bacterial and fungal infections (Ben-Ari et al, 2012). We find that dectin-1-dependent recognition of β-glucan exposure during Af germination induces increased production of type I and III interferons

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