Imaging the lung microenvironment during Coccidioidomycosis

Abstract

Abstract Valley fever is a respiratory disease caused by the fungal pathogen Coccidioides. Very little is known about how the fungus interacts with the immune system and the lung microenvironment, hampering vaccine and therapy development. There is a critical need to identify which immune cells are interacting with the fungus in the lungs and how these cells control infection. Granulomas form within the lung to control infection, but the formation, maintenance, and molecular and immune players in these processes are largely unexplored. Granuloma cell mass can be identified in X-rays and MRI scans only to be misdiagnosed for tumors, until a lung biopsy is analyzed. To investigate immune cells present in Coccidioides granulomas, we utilized tissue immunohistochemistry via fixed-formalin paraffin-embedded (FFPE) and fresh frozen embedded samples to assess immune cell and Coccidioides interactions. Various labeling methods have been investigated using infected mouse lungs to optimize procedures before switching to patient samples. Hematoxylin and eosin (H&E) staining combined with periodic acid–Schiff (PAS) identifies Coccidioides spread within the lung following fungal inhalation in mice. Lung imaging challenges include the presence of endogenous peroxidases that cause non-specific antibody binding. Antigen retrieval following paraffin embedding, have now been optimized to fit the lung and specific to the antibody that is being used. Here we highlight various troubleshooting methods with successful immunofluorescence FFPE lung imaging. Supported by University of California Office of the President grant VFR-19-633952 & R21