IL-22 and IDO1 affect immunity and tolerance to murine and human vaginal candidiasis.
The ability to tolerate Candida albicans, a human commensal of the gastrointestinal tract and vagina, implicates that host defense mechanisms of resistance and tolerance cooperate to limit fungal burden and inflammation at the different body sites. We evaluated resistance and tolerance to the fungus...
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2013
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oai:doaj.org-article:d22729873d10418789d2965973ef57e22021-12-02T19:59:40ZIL-22 and IDO1 affect immunity and tolerance to murine and human vaginal candidiasis.1553-73661553-737410.1371/journal.ppat.1003486https://doaj.org/article/d22729873d10418789d2965973ef57e22013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23853597/pdf/?tool=EBIhttps://doaj.org/toc/1553-7366https://doaj.org/toc/1553-7374The ability to tolerate Candida albicans, a human commensal of the gastrointestinal tract and vagina, implicates that host defense mechanisms of resistance and tolerance cooperate to limit fungal burden and inflammation at the different body sites. We evaluated resistance and tolerance to the fungus in experimental and human vulvovaginal candidiasis (VVC) as well as in recurrent VVC (RVVC). Resistance and tolerance mechanisms were both activated in murine VVC, involving IL-22 and IL-10-producing regulatory T cells, respectively, with a major contribution by the enzyme indoleamine 2,3-dioxygenase 1 (IDO1). IDO1 was responsible for the production of tolerogenic kynurenines, such that replacement therapy with kynurenines restored immunoprotection to VVC. In humans, two functional genetic variants in IL22 and IDO1 genes were found to be associated with heightened resistance to RVVC, and they correlated with increased local expression of IL-22, IDO1 and kynurenines. Thus, IL-22 and IDO1 are crucial in balancing resistance with tolerance to Candida, their deficiencies are risk factors for RVVC, and targeting tolerance via therapeutic kynurenines may benefit patients with RVVC.Antonella De LucaAgostinho CarvalhoCristina CunhaRossana G IannittiLucia PitzurraGloria GiovanniniAntonella MencacciLorenzo BartolommeiSilvia MorettiCristina Massi-BenedettiDietmar FuchsFlavia De BernardisPaolo PuccettiLuigina RomaniPublic Library of Science (PLoS)articleImmunologic diseases. AllergyRC581-607Biology (General)QH301-705.5ENPLoS Pathogens, Vol 9, Iss 7, p e1003486 (2013) |
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Immunologic diseases. Allergy RC581-607 Biology (General) QH301-705.5 |
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Immunologic diseases. Allergy RC581-607 Biology (General) QH301-705.5 Antonella De Luca Agostinho Carvalho Cristina Cunha Rossana G Iannitti Lucia Pitzurra Gloria Giovannini Antonella Mencacci Lorenzo Bartolommei Silvia Moretti Cristina Massi-Benedetti Dietmar Fuchs Flavia De Bernardis Paolo Puccetti Luigina Romani IL-22 and IDO1 affect immunity and tolerance to murine and human vaginal candidiasis. |
description |
The ability to tolerate Candida albicans, a human commensal of the gastrointestinal tract and vagina, implicates that host defense mechanisms of resistance and tolerance cooperate to limit fungal burden and inflammation at the different body sites. We evaluated resistance and tolerance to the fungus in experimental and human vulvovaginal candidiasis (VVC) as well as in recurrent VVC (RVVC). Resistance and tolerance mechanisms were both activated in murine VVC, involving IL-22 and IL-10-producing regulatory T cells, respectively, with a major contribution by the enzyme indoleamine 2,3-dioxygenase 1 (IDO1). IDO1 was responsible for the production of tolerogenic kynurenines, such that replacement therapy with kynurenines restored immunoprotection to VVC. In humans, two functional genetic variants in IL22 and IDO1 genes were found to be associated with heightened resistance to RVVC, and they correlated with increased local expression of IL-22, IDO1 and kynurenines. Thus, IL-22 and IDO1 are crucial in balancing resistance with tolerance to Candida, their deficiencies are risk factors for RVVC, and targeting tolerance via therapeutic kynurenines may benefit patients with RVVC. |
format |
article |
author |
Antonella De Luca Agostinho Carvalho Cristina Cunha Rossana G Iannitti Lucia Pitzurra Gloria Giovannini Antonella Mencacci Lorenzo Bartolommei Silvia Moretti Cristina Massi-Benedetti Dietmar Fuchs Flavia De Bernardis Paolo Puccetti Luigina Romani |
author_facet |
Antonella De Luca Agostinho Carvalho Cristina Cunha Rossana G Iannitti Lucia Pitzurra Gloria Giovannini Antonella Mencacci Lorenzo Bartolommei Silvia Moretti Cristina Massi-Benedetti Dietmar Fuchs Flavia De Bernardis Paolo Puccetti Luigina Romani |
author_sort |
Antonella De Luca |
title |
IL-22 and IDO1 affect immunity and tolerance to murine and human vaginal candidiasis. |
title_short |
IL-22 and IDO1 affect immunity and tolerance to murine and human vaginal candidiasis. |
title_full |
IL-22 and IDO1 affect immunity and tolerance to murine and human vaginal candidiasis. |
title_fullStr |
IL-22 and IDO1 affect immunity and tolerance to murine and human vaginal candidiasis. |
title_full_unstemmed |
IL-22 and IDO1 affect immunity and tolerance to murine and human vaginal candidiasis. |
title_sort |
il-22 and ido1 affect immunity and tolerance to murine and human vaginal candidiasis. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2013 |
url |
https://doaj.org/article/d22729873d10418789d2965973ef57e2 |
work_keys_str_mv |
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