Persistence within dendritic cells marks an antifungal evasion and dissemination strategy of Aspergillus terreus

Aspergillus terreus is an airborne human fungal pathogen causing life-threatening invasive aspergillosis in immunocompromised patients. In contrast to Aspergillus fumigatus, A. terreus infections are associated with high dissemination rates and poor response to antifungal treatment. Here, we compare...

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Main Authors: Hsieh, Shih-Hung, Kurzai, Oliver, Brock, Matthias
Format: Article
Published: Nature Publishing Group 2017
Online Access:https://eprints.nottingham.ac.uk/45540/
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author Hsieh, Shih-Hung
Kurzai, Oliver
Brock, Matthias
author_facet Hsieh, Shih-Hung
Kurzai, Oliver
Brock, Matthias
author_sort Hsieh, Shih-Hung
building Nottingham Research Data Repository
collection Online Access
description Aspergillus terreus is an airborne human fungal pathogen causing life-threatening invasive aspergillosis in immunocompromised patients. In contrast to Aspergillus fumigatus, A. terreus infections are associated with high dissemination rates and poor response to antifungal treatment. Here, we compared the interaction of conidia from both fungal species with MUTZ-3-derived dendritic cells (DCs). After phagocytosis, A. fumigatus conidia rapidly escaped from DCs, whereas A. terreus conidia remained persisting with long-term survival. Escape from DCs was independent from DHN-melanin, as A. terreus conidia expressing wA showed no increased intracellular germination. Within DCs A. terreus conidia were protected from antifungals, whereas A. fumigatus conidia were efficiently cleared. Furthermore, while A. fumigatus conidia triggered expression of DC activation markers such as CD80, CD83, CD54, MHCII and CCR7, persistent A. terreus conidia were significantly less immunogenic. Moreover, DCs confronted with A. terreus conidia neither produced pro-inflammatory nor T-cell stimulating cytokines. However, TNF-α addition resulted in activation of DCs and provoked the expression of migration markers without inactivating intracellular A. terreus conidia. Therefore, persistence within DCs and possibly within other immune cells might contribute to the low response of A. terreus infections to antifungal treatment and could be responsible for its high dissemination rates.
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spelling nottingham-455402020-05-04T19:05:05Z https://eprints.nottingham.ac.uk/45540/ Persistence within dendritic cells marks an antifungal evasion and dissemination strategy of Aspergillus terreus Hsieh, Shih-Hung Kurzai, Oliver Brock, Matthias Aspergillus terreus is an airborne human fungal pathogen causing life-threatening invasive aspergillosis in immunocompromised patients. In contrast to Aspergillus fumigatus, A. terreus infections are associated with high dissemination rates and poor response to antifungal treatment. Here, we compared the interaction of conidia from both fungal species with MUTZ-3-derived dendritic cells (DCs). After phagocytosis, A. fumigatus conidia rapidly escaped from DCs, whereas A. terreus conidia remained persisting with long-term survival. Escape from DCs was independent from DHN-melanin, as A. terreus conidia expressing wA showed no increased intracellular germination. Within DCs A. terreus conidia were protected from antifungals, whereas A. fumigatus conidia were efficiently cleared. Furthermore, while A. fumigatus conidia triggered expression of DC activation markers such as CD80, CD83, CD54, MHCII and CCR7, persistent A. terreus conidia were significantly less immunogenic. Moreover, DCs confronted with A. terreus conidia neither produced pro-inflammatory nor T-cell stimulating cytokines. However, TNF-α addition resulted in activation of DCs and provoked the expression of migration markers without inactivating intracellular A. terreus conidia. Therefore, persistence within DCs and possibly within other immune cells might contribute to the low response of A. terreus infections to antifungal treatment and could be responsible for its high dissemination rates. Nature Publishing Group 2017-09-06 Article PeerReviewed Hsieh, Shih-Hung, Kurzai, Oliver and Brock, Matthias (2017) Persistence within dendritic cells marks an antifungal evasion and dissemination strategy of Aspergillus terreus. Scientific Reports, 7 . p. 10590. ISSN 2045-2322 https://www.nature.com/articles/s41598-017-10914-w doi:10.1038/s41598-017-10914-w doi:10.1038/s41598-017-10914-w
spellingShingle Hsieh, Shih-Hung
Kurzai, Oliver
Brock, Matthias
Persistence within dendritic cells marks an antifungal evasion and dissemination strategy of Aspergillus terreus
title Persistence within dendritic cells marks an antifungal evasion and dissemination strategy of Aspergillus terreus
title_full Persistence within dendritic cells marks an antifungal evasion and dissemination strategy of Aspergillus terreus
title_fullStr Persistence within dendritic cells marks an antifungal evasion and dissemination strategy of Aspergillus terreus
title_full_unstemmed Persistence within dendritic cells marks an antifungal evasion and dissemination strategy of Aspergillus terreus
title_short Persistence within dendritic cells marks an antifungal evasion and dissemination strategy of Aspergillus terreus
title_sort persistence within dendritic cells marks an antifungal evasion and dissemination strategy of aspergillus terreus
url https://eprints.nottingham.ac.uk/45540/
https://eprints.nottingham.ac.uk/45540/
https://eprints.nottingham.ac.uk/45540/