Abstract

Indoleamine 2,3-dioxygenase (IDO), which is mainly expressed in activated dendritic cells, is known as a regulator of immune responses. However, the role of IDO in immune responses against fungal corneal infection has not been investigated. To evaluate the regulatory mechanisms of IDO in fungal inflammation, we resorted to human corneal epithelial cells (HCECs), known as the first barrier of cornea against pathogenic microorganisms. We found that IDO was significantly up-regulated in corneal epithelium infected with Aspergillus fumigatus (A. fumigatus) and HCECs incubated with spores of A. fumigatus. Furthermore, IDO inhibitor (1-methyltryptophan, 1-MT) enhanced inflammatory cytokines IL-1β and IL-6 expression which were up-regulated by A. fumigatus spores infection. Dectin-1, as one of the important C-type lectin receptors, can identify β-glucan, and mediate fungal innate immune responses. In the present study, pre-treatment with curdlan, a Dectin-1 agonist, further enhanced IDO expression compared with A. fumigatus stimulation. While laminarin, the Dectin-1 specific inhibitor, partially inhibited IDO expression stimulated by A. fumigatus. Further studies demonstrated inhibition of IDO activity amplified the expressions of inflammatory cytokines IL-1β and IL-6 induced by activation of Dectin-1. These results suggested that IDO was involved in the immune responses of fungal keratitis. The activation of Dectin-1 may contribute to A. fumigatus spores-induced up-regulation of IDO.

Highlights

  • Fungal keratitis (FK) is a serious suppurative ocular disease that can lead to severe vision loss [1]

  • We investigated the expression and the regulation of IDO in innate immune response of telomerase-immortalized human corneal epithelial cells (HCECs) infected by A. fumigatus and the possible mechanisms involved in this process

  • IDO expression increased in human corneal epithelium with A. fumigatus infection

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Summary

Introduction

Fungal keratitis (FK) is a serious suppurative ocular disease that can lead to severe vision loss [1]. Lack of suspicion and delayed diagnosis heralds the onset of complications which often lead to permanent loss of vision[2]. In China, one of the main causative organisms in corneal fungal infection is Aspergillus fumigatus (A. fumigatus) and the major risk factor is agricultural trauma. The incidence of fungal keratitis increases during harvest season, when there are great chances to expose to airborne soil and contaminated plant materials[3,4,5].

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