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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Autores principales: 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
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Publicado: Public Library of Science (PLoS) 2013
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Acceso en línea:https://doaj.org/article/d22729873d10418789d2965973ef57e2
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Immunologic diseases. Allergy
RC581-607
Biology (General)
QH301-705.5
spellingShingle 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
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