β-Glucans Are Masked but Contribute to Pulmonary Inflammation During Pneumocystis Pneumonia

J Infect Dis. 2016 Sep 1;214(5):782-91. doi: 10.1093/infdis/jiw249. Epub 2016 Jun 19.

Abstract

β-glucans, which can activate innate immune responses, are a major component in the cell wall of the cyst form of Pneumocystis In the current study, we examined whether β-1,3-glucans are masked by surface proteins in Pneumocystis and what role β-glucans play in Pneumocystis-associated inflammation. For 3 species, including Pneumocystis jirovecii, which causes Pneumocystis pneumonia in humans, Pneumocystis carinii, and Pneumocystis murina, β-1,3-glucans were masked in most organisms, as demonstrated by increased exposure following trypsin treatment. Using quantitative polymerase chain reaction and microarray techniques, we demonstrated in a mouse model of Pneumocystis pneumonia that treatment with caspofungin, an inhibitor of β-1,3-glucan synthesis, for 21 days decreased expression of a broad panel of inflammatory markers, including interferon γ, tumor necrosis factor α, interleukin 1β, interleukin 6, and multiple chemokines/chemokine ligands. Thus, β-glucans in Pneumocystis cysts are largely masked, which likely decreases innate immune activation; this mechanism presumably was developed for interactions with immunocompetent hosts, in whom organism loads are substantially lower. In immunosuppressed hosts with a high organism burden, organism death and release of glucans appears to be an important contributor to deleterious host inflammatory responses.

Keywords: Msg; Pneumocystis; cell wall; glucan.

MeSH terms

  • Animals
  • Antifungal Agents / administration & dosage
  • Caspofungin
  • Cytokines / analysis
  • Disease Models, Animal
  • Echinocandins / administration & dosage
  • Lipopeptides / administration & dosage
  • Mice, Knockout
  • Microarray Analysis
  • Pneumocystis / immunology*
  • Pneumonia / pathology*
  • Pneumonia, Pneumocystis / microbiology
  • Pneumonia, Pneumocystis / pathology*
  • Real-Time Polymerase Chain Reaction
  • beta-Glucans / immunology*

Substances

  • Antifungal Agents
  • Cytokines
  • Echinocandins
  • Lipopeptides
  • beta-Glucans
  • beta-1,3-glucan
  • Caspofungin