Detection of Cytokines and Collectins in Bronchoalveolar Fluid Samples of Patients Infected with <i>Histoplasma capsulatum</i> and <i>Pneumocystis jirovecii</i>
Histoplasmosis and pneumocystosis co-infections have been reported mainly in immunocompromised humans and in wild animals. The immunological response to each fungal infection has been described primarily using animal models; however, the host response to concomitant infection is unknown. The present...
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2021
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oai:doaj.org-article:c4d3e565eb0c4bc0904b01cabe1a11042021-11-25T18:05:58ZDetection of Cytokines and Collectins in Bronchoalveolar Fluid Samples of Patients Infected with <i>Histoplasma capsulatum</i> and <i>Pneumocystis jirovecii</i>10.3390/jof71109382309-608Xhttps://doaj.org/article/c4d3e565eb0c4bc0904b01cabe1a11042021-11-01T00:00:00Zhttps://www.mdpi.com/2309-608X/7/11/938https://doaj.org/toc/2309-608XHistoplasmosis and pneumocystosis co-infections have been reported mainly in immunocompromised humans and in wild animals. The immunological response to each fungal infection has been described primarily using animal models; however, the host response to concomitant infection is unknown. The present work aimed to evaluate the pulmonary immunological response of patients with pneumonia caused either by <i>Histoplasma capsulatum</i>, <i>Pneumocystis jirovecii</i>, or their co-infection. We analyzed the pulmonary collectin and cytokine patterns of 131 bronchoalveolar lavage samples, which included HIV and non-HIV patients infected with <i>H. capsulatum</i>, <i>P. jirovecii</i>, or both fungi, as well as healthy volunteers and HIV patients without the studied fungal infections. Our results showed an increased production of the surfactant protein-A (SP-A) in non-HIV patients with <i>H. capsulatum</i> infection, contrasting with HIV patients (<i>p</i> < 0.05). Significant differences in median values of SP-A, IL-1β, TNF-α, IFN-γ, IL-18, IL-17A, IL-33, IL-13, and CXCL8 were found among all the groups studied, suggesting that these cytokines play a role in the local inflammatory processes of histoplasmosis and pneumocystosis. Interestingly, non-HIV patients with co-infection and pneumocystosis alone showed lower levels of SP-A, IL-1β, TNF-α, IFN-γ, IL-18, IL-17A, and IL-23 than histoplasmosis patients, suggesting an immunomodulatory ability of <i>P. jirovecii</i> over <i>H. capsulatum</i> response.Laura E. Carreto-BinaghiEda P. TenorioFernando R. Morales-VillarrealEl Moukhtar AliouatEdgar ZentenoJosé-Arturo Martínez-OrozcoMaria-Lucia TaylorMDPI AGarticle<i>H. capsulatum</i><i>P. jirovecii</i>bronchoalveolar lavageSP-A and SP-DcytokinesBiology (General)QH301-705.5ENJournal of Fungi, Vol 7, Iss 938, p 938 (2021) |
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language |
EN |
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<i>H. capsulatum</i> <i>P. jirovecii</i> bronchoalveolar lavage SP-A and SP-D cytokines Biology (General) QH301-705.5 |
spellingShingle |
<i>H. capsulatum</i> <i>P. jirovecii</i> bronchoalveolar lavage SP-A and SP-D cytokines Biology (General) QH301-705.5 Laura E. Carreto-Binaghi Eda P. Tenorio Fernando R. Morales-Villarreal El Moukhtar Aliouat Edgar Zenteno José-Arturo Martínez-Orozco Maria-Lucia Taylor Detection of Cytokines and Collectins in Bronchoalveolar Fluid Samples of Patients Infected with <i>Histoplasma capsulatum</i> and <i>Pneumocystis jirovecii</i> |
description |
Histoplasmosis and pneumocystosis co-infections have been reported mainly in immunocompromised humans and in wild animals. The immunological response to each fungal infection has been described primarily using animal models; however, the host response to concomitant infection is unknown. The present work aimed to evaluate the pulmonary immunological response of patients with pneumonia caused either by <i>Histoplasma capsulatum</i>, <i>Pneumocystis jirovecii</i>, or their co-infection. We analyzed the pulmonary collectin and cytokine patterns of 131 bronchoalveolar lavage samples, which included HIV and non-HIV patients infected with <i>H. capsulatum</i>, <i>P. jirovecii</i>, or both fungi, as well as healthy volunteers and HIV patients without the studied fungal infections. Our results showed an increased production of the surfactant protein-A (SP-A) in non-HIV patients with <i>H. capsulatum</i> infection, contrasting with HIV patients (<i>p</i> < 0.05). Significant differences in median values of SP-A, IL-1β, TNF-α, IFN-γ, IL-18, IL-17A, IL-33, IL-13, and CXCL8 were found among all the groups studied, suggesting that these cytokines play a role in the local inflammatory processes of histoplasmosis and pneumocystosis. Interestingly, non-HIV patients with co-infection and pneumocystosis alone showed lower levels of SP-A, IL-1β, TNF-α, IFN-γ, IL-18, IL-17A, and IL-23 than histoplasmosis patients, suggesting an immunomodulatory ability of <i>P. jirovecii</i> over <i>H. capsulatum</i> response. |
format |
article |
author |
Laura E. Carreto-Binaghi Eda P. Tenorio Fernando R. Morales-Villarreal El Moukhtar Aliouat Edgar Zenteno José-Arturo Martínez-Orozco Maria-Lucia Taylor |
author_facet |
Laura E. Carreto-Binaghi Eda P. Tenorio Fernando R. Morales-Villarreal El Moukhtar Aliouat Edgar Zenteno José-Arturo Martínez-Orozco Maria-Lucia Taylor |
author_sort |
Laura E. Carreto-Binaghi |
title |
Detection of Cytokines and Collectins in Bronchoalveolar Fluid Samples of Patients Infected with <i>Histoplasma capsulatum</i> and <i>Pneumocystis jirovecii</i> |
title_short |
Detection of Cytokines and Collectins in Bronchoalveolar Fluid Samples of Patients Infected with <i>Histoplasma capsulatum</i> and <i>Pneumocystis jirovecii</i> |
title_full |
Detection of Cytokines and Collectins in Bronchoalveolar Fluid Samples of Patients Infected with <i>Histoplasma capsulatum</i> and <i>Pneumocystis jirovecii</i> |
title_fullStr |
Detection of Cytokines and Collectins in Bronchoalveolar Fluid Samples of Patients Infected with <i>Histoplasma capsulatum</i> and <i>Pneumocystis jirovecii</i> |
title_full_unstemmed |
Detection of Cytokines and Collectins in Bronchoalveolar Fluid Samples of Patients Infected with <i>Histoplasma capsulatum</i> and <i>Pneumocystis jirovecii</i> |
title_sort |
detection of cytokines and collectins in bronchoalveolar fluid samples of patients infected with <i>histoplasma capsulatum</i> and <i>pneumocystis jirovecii</i> |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/c4d3e565eb0c4bc0904b01cabe1a1104 |
work_keys_str_mv |
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