Skip to main page content

• HOME
• Current Issue
• Archive
• Alerts
• About ASM
• Contact us
• Tech Support
• Journals.ASM.org

This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Reprints and Permissions Copyright Information Books from ASM Press MicrobeWorld Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Lekkala, M. Articles by Stevens, D. A. Search for Related Content PubMed PubMed Citation Articles by Lekkala, M. Articles by Stevens, D. A.

 Previous Article  |  Next Article 

Infection and Immunity, August 2006, p. 4549-4556, Vol. 74, No. 8
0019-9567/06/$08.00+0     doi:10.1128/IAI.00243-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.

Effect of Lung Surfactant Collectins on Bronchoalveolar Macrophage Interaction with Blastomyces dermatitidis: Inhibition of Tumor Necrosis Factor Alpha Production by Surfactant Protein D

Madhavi Lekkala,¹ Ann Marie LeVine,² Michael J. Linke,³ Erika C. Crouch,⁴ Bruce Linders,⁴ Elmer Brummer,^1,5 and David A. Stevens^1,5*

Division of Infectious Diseases, Department of Medicine, Santa Clara Valley Medical Center, and California Institute for Medical Research, San Jose, California,¹ Division of Pulmonary Biology and Critical Care Medicine, Children's Hospital Medical Center, Cincinnati, Ohio,² Veterans Affairs Medical Center, Cincinnati, Ohio,³ Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri,⁴ Department of Medicine, Stanford University School of Medicine, Stanford, California⁵

Received 14 February 2006/ Returned for modification 18 March 2006/ Accepted 7 May 2006

Top Abstract Introduction Materials and Methods Results Discussion References

 
Alveolar surfactant modulates the antimicrobial function of bronchoalveolar macrophages (BAM). Little is known about the effect of surfactant-associated proteins in bronchoalveolar lavage fluid (BALF) on the interaction of BAM and Blastomyces dermatitidis. We investigated BALF enhancement or inhibition of TNF- production by BAM stimulated by B. dermatitidis. BAM from CD-1 mice were stimulated with B. dermatitidis without or with normal BALF, surfactant protein A-deficient (SP-A^–/–) or surfactant protein D-deficient (SP-D^–/–) BALF, or a mixture of SP-A^–/– and SP-D^–/– BALF. An enzyme-linked immunosorbent assay was used to measure tumor necrosis factor alpha (TNF-) in culture supernatants. BALFs were standardized in protein concentration. BAM plus B. dermatitidis (BAM-B. dermatitidis) TNF- production was inhibited 47% by BALF or SP-A^–/– BALF (at 290 or 580 µg of protein/ml, P < 0.05 to 0.01); in contrast, SP-D^–/– BALF did not significantly inhibit TNF- production. If SP-A^–/– BALF was mixed in equal amounts with SP-D^–/– BALF, TNF- production by BAM-B. dermatitidis was inhibited (P < 0.01). Finally, pure SP-D added to SP-D^–/– BALF inhibited TNF- production by BAM-B. dermatitidis (P < 0.01). B. dermatitidis incubated with BALF and washed, plus BAM, stimulated 63% less production of TNF- than did unwashed B. dermatitidis (P < 0.05). SP-D was detected by anti-SP-D antibody on BALF-treated unwashed B. dermatitidis in an immunofluorescence assay (IFA). The BALF depleted by a coating of B. dermatitidis lost the ability to inhibit TNF- production (P < 0.05). 1,3-ß-Glucan was a good stimulator of BAM for TNF- production and was detected on B. dermatitidis by IFA. ß-Glucan incubated with BALF inhibited the binding of SP-D in BALF to B. dermatitidis as demonstrated by IFA. Our data suggest that SP-D in BALF binds ß-glucan on B. dermatitidis, blocking BAM access to ß-glucan, thereby inhibiting TNF- production. Thus, whereas BALF constituents commonly mediate antimicrobial activity, B. dermatitidis may utilize BALF constituents, such as SP-D, to blunt the host defensive reaction; this effect could reduce inflammation and tissue destruction but could also promote disease.

Top Abstract Introduction Materials and Methods Results Discussion References

 
Blastomycosis is a pulmonary mycotic disease contracted by inhalation of airborne conidia or mycelial fragments of the dimorphic fungus Blastomyces dermatitidis, which promptly converts to its parasitic form, yeasts (2, 23, 39). The disease can become chronic and can disseminate, with granuloma formation and suppuration. Complete understanding of the epidemiology of blastomycosis is hindered by a lack of reporting (23, 25). The lung is an important interface between the host and an environment that contains a plethora of potentially harmful microorganisms. The innate immune defense of the lung includes the bronchoalveolar macrophages (BAM) and pulmonary surfactant.

Under ordinary conditions BAM are a part of the defense against inhaled microorganisms. The bactericidal activity of BAM from humans, rats, or mice is well documented. In contrast, BAM fungicidal activity is limited for such pulmonary pathogens as Histoplasma capsulatum (24), B. dermatitidis (42), Coccidioides immitis (5), and Aspergillus fumigatus mycelia (37). A weak fungicidal activity of BAM for B. dermatitidis might relate to only a modest respiratory burst triggered by B. dermatitidis (8, 10).

Pulmonary surfactant is a complex mixture of lipids, phospholipids, and proteins (36). Two of the surfactant-associated proteins, SP-A and SP-D, are involved in innate immunity and lung homeostasis and belong to a family known as collectins. One important biological role of collectins (20) is to bind to targets such as bacteria (26, 27), viruses (17-19, 32), and fungi (13, 29-31, 35). The collectins bind by recognizing patterns of carbohydrate distribution and, by binding and/or enhancement of phagocytosis, increase the clearance of the target by BAM. Little is known regarding the interaction of B. dermatitidis with surfactant protein (SP-A and SP-D) in the pulmonary compartment. The goal of the present study was to investigate the role of SP-A and SP-D in the interaction between BAM and B. dermatitidis, especially with regard to tumor necrosis factor alpha (TNF-) production, since TNF- is an important orchestrator of lung innate and adaptive immune responses, and this role is especially prominent with fungi (11, 15, 34).

Top Abstract Introduction Materials and Methods Results Discussion References

 
Animals. Male CD-1 mice, 8 to 12 weeks old, were obtained from the breeding colony of Charles River Laboratory, Hollister, CA. Male C3H/HeN SP-A negative (SP-A^–/–) mice and male NIH Swiss Black SP-D-negative (SP-D^–/–) mice, 8 to 10 weeks old, were bred and raised in the University of Cincinnati Laboratory Animal Facility. These mice were housed in microisolator cages in rooms with HEPA-filtered laminar airflow and received autoclaved food and bedding. All animal studies conformed to National Institutes of Health, University of Cincinnati, and Veterans Affairs Medical Centers guidelines and were approved by the Institutional Animal Care and Use Committee of the California Institute for Medical Research.

Reagents and media. The tissue culture medium RPMI 1640 with L-glutamine, 10% (vol/vol) heat-inactivated fetal bovine serum, and penicillin-streptomycin (100 U/ml and 100 µg/ml, respectively) was obtained from Gibco Laboratories, Grand Island, NY, and the mixture is referred to as complete tissue culture medium (CTCM). Rabbit anti-mouse SP-D was obtained from Chemicon International Laboratories (Temecula, CA), and fluorescein-conjugated goat anti-rabbit immunoglobulin G (IgG) and goat anti-mouse IgG (both goat antisera heavy- and light-chain only) from Zymed Lab (San Francisco, CA). ß-1,3-Glucan was prepared from Saccharomyces cerevisiae by autoclaving cell walls in 19 mM citrate buffer to separate mannans (supernatant) and then extracting the insoluble ß-1,3-glucan by hot 3% NaOH extraction under nitrogen (4), and the purity was verified by infrared spectroscopy (Sigma Chemical Co., St. Louis, MO). Monoclonal anti-1,3-ß-glucan mouse IgG (kappa light-chain isotype) was obtained from Biosupplies Australia Pty., Ltd. (Parkville, Victoria, Australia).

Fungi. B. dermatitidis ATCC 26199, an isolate that is virulent in mice (40), was used in all experiments. B. dermatitidis yeasts are so large (>10 µm in diameter) that a single macrophage can only sometimes ingest one and with great difficulty; moreover, the organisms often clump in units of two to three cells, making ingestion even more problematic. Microscopic observations show that B. dermatitidis units are commonly only surrounded by macrophages rather than being ingested (9). Viable B. dermatitidis was prepared from cultures grown for 72 h on blood agar plates at 37°C, and growth was suspended in 3 ml of saline. The suspension was pelleted by centrifugation at 400 x g for 10 min, and the pellet suspended in 1 ml of saline and counted with a hemacytometer. A suspension of 5 x 10⁶ viable B. dermatitidis/ml of saline was made.

Heat-killed (HK) B. dermatitidis was prepared from cultures grown for 72 h on blood agar plates at 37°C and suspended in 5 ml of saline. The suspension was heated at 65°C for 30 min with mixing every 10 min and pelleted by centrifugation at 400 x g for 10 min, the pellet was suspended in 5 ml of saline, and the HK B. dermatitidis was counted by using a hemacytometer. The suspension had 53 x 10⁶ HK B. dermatitidis/ml. It was diluted to 10 ml to yield 5 x 10⁶ HK B. dermatitidis/ml, and portions were stored at –80°C. Viability testing assured the absence of viable B. dermatitidis.

BAM. The lungs of CD-1 mice were lavaged with Dulbecco phosphate-buffered saline without calcium or magnesium but containing 10% fetal bovine serum and 0.1% EDTA as previously described (41). Cells obtained by repeated 1-ml lavages (total of 10 ml/mouse) were pelleted by centrifugation (400 x g, 10 min). Pelleted cells from 10 mice were pooled, washed once in CTCM, and counted with a hemacytometer. A yield of (8.5 ± 2.1) x 10⁵ cells/mouse, highly enriched for macrophages (97.5% ± 3.2%), was obtained by this method. BAM monolayers were formed by incubating 0.1 ml of lavaged cells (10⁶/ml of CTCM) per microtest plate well (A/2, Costar 3696; Corning, Inc., Corning, NY) for 2 h at 37°C in 5% CO₂-95% air humidified atmosphere. After incubation, nonadherent cells were aspirated. A total of 90% of the incubated cells adhered, and the monolayer contained approximately 9 x 10⁴ macrophages per well.

Electrophoresis and immunoblotting. Samples were subjected to sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) using 10% Tris-glycine and 1-mm precast gels in an X-Cell Sure-Lock chamber (Novex; Invitrogen, Carlsbad, CA) with reagents and according to instructions supplied by the vendor. For the reduction of samples, NuPAGE sample reducing agent (Invitrogen) was added so that it was 10% in the sample.

SDS-PAGE gel proteins were blotted to polyvinylidene difluoride membranes by using an X-Cell II blot module (Novex) using reagents and according to instructions provided by the vendor. Blotted polyvinylidene difluoride membranes were air dried and stored at 4°C until needed.

Western immunoblotting of membranes was done with reagents and according to instructions supplied with the SuperSignal West Pico chemiluminescent substrate kit (Pierce, Rockford, IL). Blocked membranes were probed for 1 h with the primary antibody, rabbit anti-mouse SP-D (1:100), in buffer. After a washing step, the membranes were treated with goat anti-rabbit IgG-horseradish peroxidase conjugate (1:1,000) in buffer for 1 h. After the membranes were washed, the substrate (H₂O₂ plus luminol [Invitrogen, Carlsbad, CA]) was added for 5 min. After the substrate was drained, the membrane was exposed to X-ray film (CL-X Posure, 5 by 7 in.; Pierce), the film was developed, and the images were digitized (Bio-Image, Ann Arbor, MI).

BALF. The lungs of CD-1, SP-A^–/–, and SP-D^–/– mice were lavaged with 1 to 3 ml of PBS with penicillin-streptomycin per mouse, and the lavage fluid was centrifuged. Subsequently, CD-1 (wild-type) BALF will be referred to as normal bronchoalveolar lavage fluid (BALF) or, when not specified, it is this BALF that is meant. Pools of BALF from four to five SP-A^–/– or SP-D^–/– mice or from ten CD-1 mice were prepared. Cell-free BALF was lyophilized, suspended in 1 ml of distilled water, and dialyzed (Spectra/Por-1 membrane; Spectrum Laboratories, Inc., Rancho Dominguez, CA; exclusion, 6,000 to 8,000 molecular weight) against 45 ml of saline. The protein concentrations of BALF were measured (BCA protein assay reagent; Pierce).

Pure SP-D (purified recombinant rat SP-D dodecamers [116.3 µg/ml]), with Tris-buffered saline and 2 mM EDTA, was studied (17). This protein was purified from conditional medium of stably transfected CHO-K1 cells by gel filtration chromatography on maltosyl agarose, followed by agarose gel filtration chromatography. The reduced product appeared as a single protein band on SDS-PAGE. Endotoxin levels were determined by chromogenic assay and was 1.9 pg/µg of protein.

Treatment of macrophages and challenges. BAM were incubated (37°C, 5% CO₂ + 95% air) with BALF, prepared as described above and diluted in CTCM, from SP-A^–/–, SP-D^–/–, or SP-A^–/– BALF with SP-D^–/– BALF in a 1:1 ratio and challenged with 0.01 ml of viable B. dermatitidis or HK B. dermatitidis (the effector/target ratio thus being 2:1). Culture supernatants were collected after 24 h, and the TNF- levels in supernatants were measured by enzyme-linked immunosorbent assay (ELISA; Pierce/Endogen, Woburn, MA). The assay produces a linear dose response for the TNF- concentration and absorbance at 450 nm, and a standard curve verifies this in each run.

Absorption of BALF and coating of B. dermatitidis. Absorption of BALF and the coating of B. dermatitidis was done in 1-ml microcentrifuge tubes. Heat-killed B. dermatitidis (6 x 10⁸ in 0.5 ml of saline) was pelleted by centrifugation (10,000 rpm, 1 min), the saline was removed, and B. dermatitidis was suspended in 0.5 ml of BALF (1,290 µg of protein/ml). B. dermatitidis plus BALF (B. dermatitidis-BALF) was incubated, with mixing every 10 min, at 4°C for 1 h. After centrifugation, the supernatant (once-absorbed BALF) was removed, and pelleted B. dermatitidis was suspended in 0.5 ml of saline and counted. Coated B. dermatitidis was suspended to 5 x 10⁶/ml of saline, and 0.01-ml portions were used to stimulate BAM.

Once-absorbed BALF (0.5 ml) was incubated with 6 x 10⁸ B. dermatitidis for 1 h as described above and centrifuged. The supernatant BALF (twice-absorbed BALF) was collected and tested at 290 µg of protein/ml.

Staining procedure. CD-1 BALF (290 µg/ml BALF) in CTCM, SP-D^–/– BALF (290 µg/ml BALF) in CTCM, and pure SP-D (20 µg/ml) with SP-D^–/– BALF (290 µg/ml BALF) in CTCM (0.1-ml volumes) were incubated with 0.01 ml of viable B. dermatitidis (5 x 10⁶/ml) for 1 h at room temperature and centrifuged at 6,000 rpm/min for 1 min. The pellet was washed with 0.1 ml of CTCM and incubated for 30 min with rabbit anti-mouse SP-D diluted 1:10 in CTCM. The suspension was centrifuged, and the pellet was suspended for 30 min in fluoresceinated goat anti-rabbit IgG conjugate diluted 1:10 in CTCM. The suspension was recentrifuged, and the pellet was washed and resuspended in 0.01 ml of CTCM. The pellet was studied with a fluorescence microscope.

For photographic recording, the same procedure with BALF was used except that HK B. dermatitidis (because of biohazard considerations in the photography laboratory) and goat anti-rabbit antibody conjugated to phycoerythrin were substituted for the corresponding cells and antibody described above.

A total of 0.01 ml of viable B. dermatitidis (5 x 10⁶/ml) was incubated with 0.1 ml of anti-ß-glucan mouse IgG diluted 1:10 in CTCM for 1 h at room temperature, centrifuged, washed as described above, and suspended in goat anti-mouse IgG in CTCM (1:10) for 30 min. The pellet was washed and suspended as described above and examined with a fluorescence microscope.

Statistics. Data are presented as means of triplicate determinations ± the standard error of the mean in text and as bars in the figures. Comparisons between groups were analyzed by using the Student t test, with significance assumed to be a P value of <0.05.

Top Abstract Introduction Materials and Methods Results Discussion References

 
Inhibition of TNF- production by BAM-B. dermatitidis by BALF. TNF- production by BAM on exposure to HK B. dermatitidis was inhibited by 61% in the presence of normal (CD-1) BALF at 145 µg/ml or 78% by BALF at 290 µg/ml (both P < 0.01) (Fig. 1A). In a second experiment, with another BALF preparation, TNF- production by BAM in response to HK B. dermatitidis was less but was inhibited by 21% in presence of BALF at 238 µg of protein/ml or 63% (P < 0.01) by BALF at 476 µg of protein/ml (Fig. 1B). These results suggest that BALF inhibits TNF- production by BAM in a concentration-dependent manner.

View larger version (16K): [in this window] [in a new window]

FIG. 1. Effect of BALF on BAM plus HK B. dermatitidis production of TNF-. BAM-B. dermatitidis (2:1) production of TNF-, as measured by ELISA (absorbance at 450 nm), was inhibited in a concentration-dependent manner. (A) Inhibition by BALF (BALF-1) at 145 and 290 µg/ml (both P < 0.01). (B) Inhibition by a second preparation of BALF (BALF-2) at 238 and 476 µg/ml (P < 0.01).

In a separate experiment, heat-killed B. dermatitidis was coated with BALF as described in Materials and Methods. Whereas BALF at 290 µg/ml inhibited TNF- production by 90%, the coated B. dermatitidis inhibited the stimulation of BAM for TNF- production by 63% (P < 0.05) compared to stimulation of BAM with uncoated HK B. dermatitidis (data not shown). This result indicated that factor(s) in BALF bind to B. dermatitidis and interfere with the stimulation of BAM for TNF- production. Studies of the nature of the possible coating material are described subsequently.

BALF twice absorbed with HK B. dermatitidis, prepared as described in Materials and Methods, was compared at 290 µg of protein/ml to unabsorbed BALF. The absorbed BALF had decreased ability to inhibit TNF- production by BAM-HK B. dermatitidis compared to unabsorbed BALF: 23% versus 79% (P < 0.05). A similar result, 30% inhibition, was obtained in a separate experiment with a 156-µg/ml preparation of twice-absorbed BALF. This suggests that the material in BALF that inhibits the BAM production of TNF-, in response to HK B. dermatitidis, binds to B. dermatitidis (during the absorption procedure) and is thus depleted from the BALF.

SP-D-deficient lavage fails to inhibit TNF- from BAM after exposure to viable B. dermatitidis. TNF- production by BAM to viable B. dermatitidis was inhibited by 51% in the presence of BALF (290 µg/ml) or 47% by BALF SP-A^–/– (290 µg/ml) (both P < 0.05). Viable B. dermatitidis produced more TNF- from the BAM controls than the experiments described above, thus the absolute amount with normal BALF is greater, and the percent inhibition is similar. There was no significant inhibition or enhancement by SP-D^–/– BALF (290 µg/ml) compared to BAM-B. dermatitidis (Fig. 2A). A second experiment gave similar results with the three BALFs.

View larger version (21K): [in this window] [in a new window]

FIG. 2. Effect of normal, SP-D–/–, and SP-A–/– BALF on production of TNF- by BAM plus viable B. dermatitidis. BAM-B. dermatitidis (2:1) production of TNF- measured by ELISA (absorbance at 450 nm) is shown. (A and B) Inhibition by different BALFs at 290 µg/ml (A) and inhibition by BALFs at 580 µg of protein/ml (B). BALF and SP-A–/– BALF inhibition (both P < 0.05 in panel A and P < 0.01 in panel B).

When the protein concentration of BALF was increased to 580 µg/ml, TNF- production by BAM to B. dermatitidis was inhibited 88% by BALF, 68% by SP-A^–/– BALF (both P < 0.01), and 6% by SP-D^–/– BALF (P > 0.05) compared to BAM-B. dermatitidis (Fig. 2B). A second experiment gave similar results with the three BALFs. These results suggest that SP-D, but not SP-A, in BALF inhibits TNF- production by BAM-B. dermatitidis.

Inhibition of TNF- production by BAM plus viable B. dermatitidis by normal BALF and SP-A^–/– BALF added to SP-D^–/– BALF. When SP-A^–/– BALF was added to SP-D^–/– BALF at 1:1 for a total protein concentration of 290 µg/ml, TNF- production by BAM-B. dermatitidis was inhibited (P < 0.01) 79%, similar to 75% by normal BALF at 290 µg/ml (P < 0.01). A second experiment gave similar results. If the total BALF protein in 1:1 mixing experiments was 580 µg/ml, TNF- production by the BAM-B. dermatitidis-BALF mixture was inhibited by 99% (P < 0.01) compared to BAM-B. dermatitidis without BALF (Fig. 3). A second experiment gave similar results. These findings indicate that SP-D^–/– BALF lacks a factor(s) for inhibiting TNF- production by BAM-B. dermatitidis that can be supplied by SP-A^–/– BALF.

View larger version (19K): [in this window] [in a new window]

FIG. 3. Effect of normal BALF and SP-A–/– BALF added to SP-D–/– BALF on TNF- production by BAM plus viable B. dermatitidis. Inhibition of BAM-B. dermatitidis (2:1) production of TNF- by BALF at 290 and 580 µg of protein/ml was measured by ELISA (absorbance at 450 nm). Inhibition by SP-A–/– BALF added to SP-D–/– BALF in 1:1 at 290 and 580 µg/ml is shown. For normal BALF or a mixture of BALFs at 290 or 580 µg/ml, the P values for all four were <0.01 versus control. Comparison of BALF, or a mixture of BALFs, at 290 versus 580 µg/ml yielded P values of <0.05.

Inhibition of TNF- production by BAM plus viable B. dermatitidis by normal BALF and SP-D added to SP-D^–/– BALF. TNF- production by BAM-B. dermatitidis was inhibited by 29% (P < 0.05) in presence of another batch of BALF (290 µg/ml), whereas in a concurrent study SP-D^–/– BALF (290 µg/ml) failed to significantly inhibit TNF- production (Fig. 4). TNF- production was significantly (25%, P < 0.01) inhibited when SP-D^–/– BALF (290 µg/ml) contained 20 µg of pure SP-D/ml (the maximum concentration available for study) versus BAM-B. dermatitidis plus SP-D^–/– BALF (Fig. 4). A second experiment gave the same findings (30% inhibition). Lower SP-D concentrations did not inhibit TNF- production. These findings indicate that SP-D^–/– BALF lacks a factor for inhibiting TNF- production by BAM-B. dermatitidis that can be supplied by pure SP-D.

View larger version (21K): [in this window] [in a new window]

FIG. 4. Effect of adding SP-D to SP-D–/– BALF on TNF- production by BAM-B. dermatitidis. BAM-B. dermatitidis (2:1) production of TNF-, as measured by ELISA (absorbance at 450 nm), was inhibited by normal BALF (290 µg/ml) (P < 0.05), SP-D–/– BALF (P > 0.05), and SP-D added to SP-D–/– BALF at 20 µg/ml (P < 0.01).

Immunoblotting of BALF for SP-D. When normal BALF and SP-D^–/– BALF were electrophoresed, blotted to polyvinylidene difluoride membrane, and probed for SP-D, only the former showed bands (Fig. 5A). In another experiment where pure SP-D and BALF, each studied reduced and nonreduced, were immunoblotted for SP-D, reduced SP-D and reduced BALF gave single bands of similar molecular weights (Fig. 5B, lanes 2 and 4). In contrast, nonreduced SP-D showed four bands, one of which was seen in nonreduced BALF (Fig. 5B, lanes 1 and 3). Estimation of the area density of the band in reduced SP-D with that in reduced BALF at 10 times the concentration suggests that the SP-D in the BALF preparation approximated 0.1 µg.

View larger version (36K): [in this window] [in a new window]

FIG. 5. Immunoblotting for SP-D. (A) Natural (nonreduced) BALF at 40 µg of protein/lane. Normal, lane 1; SP-D–/–, lane 2. The dark band in lane 1 comigrates with purified nonreduced SP-D trimers. The lighter band is understood to be a small amount of trimer aggregates, stabilized by nondisulfide bonds. Minor species larger than trimers are frequently seen in protein preparations from natural sources. (B) SP-D at 2 µg of protein/lane: natural, lane 1; reduced lane 2. BALF at 20 µg of protein/lane: natural, lane 3; reduced, lane 4. In lane 1, the top band corresponds to the lighter band (aggregates) in lane 1 of Fig. 5A. SP-D is detected as single bands in BALF, the lesser amount of BALF studied in panel B apparently results in nondetection of the second band in natural BALF compared to panel A. This band in lane 3 and the corresponding band in lane 1 (SP-D trimers) comigrates with bovine serum albumin (about 98 kDa). The band in lane 4 and the corresponding band in lane 2 comigrate with a 36-kDa molecular mass marker and are considered to be reduced monomers. The intermediate band, between these two markers, in lane 1, comigrates with a 64-kDa molecular mass marker and is considered to represent dimers. The faintest band, at the bottom of lane 1, is understood to be unreduced monomers, which migrate more rapidly than reduced monomers because the lectin domain is folded in half by an intrachain disulfide band (with reduction, the protein unfolds and migrates as a larger protein in the presence of SDS). With the heavily loaded and exposed unreduced gels, delineation of the nature of the immunoreactive species is facilitated.

Immunofluorescence staining of SP-D in BALF bound to B. dermatitidis. BALF, SP-D^–/– BALF, and SP-D^–/– BALF with pure SP-D added were incubated with viable B. dermatitidis and then incubated with rabbit anti-mouse SP-D, followed by fluoresceinated goat anti-rabbit antibody. In three experiments, bright green immunofluorescence was seen in the wall of B. dermatitidis with normal BALF. (In the absence of any antibodies under these conditions, B. dermatitidis appears red, a negative result, as was the case when the indirect antibody was applied without the monoclonal direct antibody). B. dermatitidis coated with SP-D^–/– BALF was not stained; however, B. dermatitidis was stained when pure SP-D was added to SP-D^–/– BALF, and the mixture was used for coating B. dermatitidis prior to application of the fluorescent indirect antibody system. These results show that SP-D in BALF bound to B. dermatitidis.

In the detailed photographic studies (Fig. 6) with HK B. dermatitidis and BALF, we noted two patterns of fluorescence (Fig. 6). One pattern was intense staining of B. dermatitidis, apparently SP-D covering the entire yeast surface (Fig. 6B). The second pattern (Fig. 6D) was fluorescence primarily at the budding regions of the cells.

View larger version (112K): [in this window] [in a new window]

FIG. 6. Immunofluorescent staining of SP-D in BALF on B. dermatitidis using an indirect immunofluorescence technique with anti-SP-D antibody. Light microscopy in panels A and C shows B. dermatitidis not visible with fluorescence microscopy with control, SP-D–/– BALF. A diffuse cell surface staining pattern (B) and a pattern of staining focalized to budding region (D) with normal BALF are also shown.

ß-Glucan and BAM TNF- production and the effects of normal, SP-A^–/–, and SP-D^–/– BALF. ß-1,3-Glucan (250 µg/ml), a cell wall component of B. dermatitidis, stimulated TNF- production by BAM (Fig. 7A). Preliminary experiments showed this glucan concentration to be optimal. This concentration of glucan was less (P < 0.01) of a stimulus than the concentration of viable B. dermatitidis studied here. BALF at 580 µg/ml significantly inhibited (P < 0.01) TNF- production (Fig. 7A) by glucan (250 µg/ml). With a second BALF preparation, 290 µg/ml could inhibit glucan-induced TNF- production 97% (Fig. 7B) (P < 0.01). Production was inhibited 99% by BALF SP-A^–/– (P < 0.01) and 49% by SP-D^–/– BALF (P < 0.05), all at 290 µg of protein/ml (Fig. 7B). In a mixing experiment wherein SP-A^–/– BALF was added 1:1 to SP-D^–/– BALF for a total protein concentration of 290 µg/ml, TNF- production by BAM with ß-glucans was inhibited by 99% (P < 0.01) (Fig. 7B). The addition of polymyxin (5 µg/ml), to bind possible endotoxin contamination of the glucan preparation, did not affect the glucan results. These results suggest that factor(s) in BALF (more prominent in SP-A^–/– BALF) could be binding to ß-glucans in the cell wall and partly explain the inhibition of BAM TNF- production by viable B. dermatitidis.

View larger version (18K): [in this window] [in a new window]

FIG. 7. Effect of BALF on ß-glucan stimulated BAM on TNF- production. TNF- production by BAM plus ß-glucan (250 µg/ml), measured by ELISA (absorbance at 450 µg/ml), is shown and compared to viable B. dermatitidis. (A) Inhibition (P < 0.01) by normal BALF (580 µg of protein ml). (B) Inhibition by 290 µg/ml of a second BALF preparation (P < 0.01) and BALF from SP-D–/– (P < 0.05), SP-A–/– (P < 0.01), and SP-D–/– added to SP-A–/– BALF in 1:1 mixture (P < 0.01).

Immunofluorescent staining of ß-glucan on B. dermatitidis. Viable B. dermatitidis was incubated with mouse monoclonal anti-ß-1,3-glucan antibody and fluoresceinated indirect antibody as described in Materials and Methods. In three experiments, bright green immunofluorescence was seen in the wall of B. dermatitidis. Staining was more intense at the junction of the budding yeast with the parent yeast cell. These results demonstrate the ß-glucan in B. dermatitidis cell wall and show glucan accessibility to a large protein molecule (antibody).

Binding of SP-D in BALF to ß-glucan. BALF (290 µg/ml) was mixed with ß-glucan (250 µg/ml) for 30 min before incubation with B. dermatitidis for 1 h. The treated B. dermatitidis was then incubated with rabbit anti-mouse SP-D and then goat anti-rabbit IgG conjugate. In the three experiments, B. dermatitidis was not stained with fluorescence when BALF mixed with ß-glucan was used. However, B. dermatitidis was stained when BALF without ß-glucan was used. This shows that ß-glucan bound to SP-D in BALF and thus blocked SP-D from binding to B. dermatitidis.

Top Abstract Introduction Materials and Methods Results Discussion References

 
BAM are highly phagocytic and express a broad range of receptors. The production of TNF- is important in promoting host defense against B. dermatitidis (15), as well as other pathogenic fungi, such as Cryptococcus neoformans (11) and A. fumigatus (34), and intracellular bacterial pathogens such as Mycobacterium tuberculosis (21, 22). Levels of macrophage TNF- production by strains of B. dermatitidis correlate with strain pathogenicity, in that virulent isolates stimulate less TNF- than do nonvirulent strains (15). Although limiting inflammation and tissue destruction may be helpful to the host, it is also possible that B. dermatitidis has a novel offensive weapon in the pathogen-host interaction, namely, a means, in the presence of BALF, to blunt the defensive action engendered by host TNF- production. Because TNF- production is important in understanding the pathogenesis of B. dermatitidis, we explored the role of lung surfactant in enhancing or inhibiting TNF- production by BAM in response to B. dermatitidis.

We found that BALF has a role in the interaction between viable B. dermatitidis and BAM, namely, inhibition of TNF- production. The data presented indicate that if B. dermatitidis was heat killed and coated with BALF, BAM TNF- production was similarly inhibited. We report that ß-glucan stimulates TNF- production by BAM, and TNF- production is strongly inhibited in the presence of BALF. This suggests that glucan serves as a ligand for a fraction in BALF. There is increasing evidence that hydrophilic surfactant-associated proteins SP-A and SP-D play a first-line defensive role in the alveolar airspace and interact with alveolar macrophages during the recognition and clearance of pathogens responsible for pulmonary inflammation. Binding of SP-A and SP-D to the surfaces of microbes such as Staphylococcus aureus (16), influenza A virus (18), and C. neoformans (38) and the enhancement of phagocytosis via agglutination or receptor mediation has been well documented. These collectins may also have a direct cidal effect on fungi (33). SP-D has been shown to play a role in innate immunity through modulation of inflammation and clearance of organisms.

We affirmed the presence of SP-D in our BALF preparations and its absence from SP-D^–/– BALF and found that SP-D^–/– BALF did not significantly inhibit TNF- production by BAM-B. dermatitidis. However, the mixing of SP-D^–/– BALF and SP-A^–/– BALF inhibited TNF- production in this system. Pure SP-D added to SP-D^–/– BALF had a similar effect. There are currently no commercial assays for measuring SP-D in murine BALF, but in comparing the area density of the immunoblots (Fig. 5B) of reduced pure SP-D and BALF, we estimate 290 µg of BALF protein/ml would contain approximately 1.5 µg of SP-D/ml. Differences between native and recombinant proteins or between species (14) could result in differences in SP-D potency in our assays.

ß-Glucan appears to be responsible for at least part of the stimulus in B. dermatitidis to BAM for TNF- production, and this stimulus could be inhibited by normal BALF or SP-A^–/– BALF. We are not aware of prior studies showing the role of SP-D in the interaction between BAM and B. dermatitidis. However, studies have shown SP-D binds to A. fumigatus conidia, acting as an opsonin for macrophages (30). A significant increase in lung inflammation in Pneumocystis carinii-infected SP-D^–/– mice and delayed early clearance of P. carinii has been reported (3). SP-D agglutinates Haemophilus influenzae and group B Streptococcus (GBS), and in SP-D^–/– mice there was decreased association of GBS and H. influenzae with alveolar macrophages. Moreover, infection with GBS and H. influenzae significantly increased proinflammatory cytokines, TNF, interleukin-6, and MIP-2 in lung homogenates from SP-A^–/– and SP-D^–/– mice (28). SP-D is chemotactic to neutrophils and enhances the uptake of bacteria such as Escherichia coli, Streptococcus pneumoniae, and S. aureus (27).

It was noteworthy that when SP-D^–/– BALF, lacking inhibitory influence on BAM TNF- production, was added to SP-A^–/– BALF, not only were the inhibitory factor(s) restored (as might be expected if the sole factor was SP-D supplied by the SP-A^–/– BALF), but the activity of the mixture was greater than that of SP-A^–/– BALF alone. This suggests some synergy between SP-A^–/– and SP-D^–/– BALF, as if SP-A^–/– BALF also removed some blocker of activity in SP-D^–/– BALF, or SP-D^–/– BALF supplied a factor enhancing the activity (presumed to be SP-D) in SP-A^–/– BALF, or possibly some other interaction occurred that is also presently unclear. Previous studies have suggested SP-D^–/– BALF may contain increased lipids, as well as various cytokines, proteases, and oxidants, all of which may have immunomodulatory properties. Our finding provides an avenue for further research.

BALF-incubated B. dermatitidis showed SP-D on B. dermatitidis, whereas B. dermatitidis SP-D fluorescence, as expected, was absent after B. dermatitidis incubation with only SP-D^–/– BALF and was restored when pure SP-D was added. These observations provide confirmation of an earlier report (13) that SP-D binds to B. dermatitidis. The staining patterns of SP-D on B. dermatitidis suggest the distribution of the ligand for SP-D on B. dermatitidis may be variable, possibly related to different phases of the cell cycle and focalization of ß-glucan. The staining at the budding region warrants further study. Our immunofluorescence studies showed ß-glucan in B. dermatitidis cell walls, confirming studies associating ß-glucan with B. dermatitidis (12). ß-Glucan could block the demonstration of SP-D on B. dermatitidis after BALF incubation, suggesting that SP-D is binding to ß-glucan on B. dermatitidis. We propose that SP-D blockade of glucan on B. dermatitidis is the mechanism for SP-D inhibition of TNF- production by BAM-B. dermatitidis. We cannot exclude the possibility that other glycopolymers could bind SP-D at the fungal cell wall. As an extension of the present work, we have subsequently indicated, in a preliminary report using peritoneal macrophages [A. Koneti, E. Brummer, and D. A. Stevens, Evasion of innate immune response by Blastomyces dermatitidis: interaction with serum factor(s) inhibits TNF- production by macrophages, Progr. 43rd Ann. Meet. Infect. Dis. Soc. Am., abstr. 198, San Francisco, 2005], that anti-glucan antibody treatment of B. dermatitidis abrogated B. dermatitidis stimulation of macrophage TNF- production.

Another avenue for further research is our observation that SP-D^–/– BALF has modest activity in inhibiting BAM TNF- production when the stimulus is glucan but no activity when the stimulus is viable B. dermatitidis. This could mean that a factor, other than the more potent SP-D, in SP-D^–/– BALF can be engaged when the stimulus is pure glucan, as opposed to when the glucan is complexed with other carbohydrate polymers or glycoproteins, as is the case in a fungal cell wall.

The receptor(s) on macrophages with which B. dermatitidis interacts for TNF- production have not been defined. Recently, the macrophage receptor for 1,3-ß-glucan, Dectin-1, has been identified and characterized (1, 6, 7). ß-Glucan causes signaling through Dectin-1 on macrophages for TNF- production (43). Although we have not investigated Dectin-1 on macrophages, we speculate that Dectin-1 interacts with ß-glucan on B. dermatitidis; such interactions and signaling would account for TNF- production.

 
This study was supported in part by NIH grants HL-44015 and HL-29594.

 
* Corresponding author. Mailing address: Department of Medicine, Santa Clara Valley Medical Center, 751 South Bascom Ave., San Jose, CA 95128-2699. Phone: (408) 885-4313. Fax: (408) 885-4306. E-mail: stevens{at}stanford.edu.

Editor: A. Casadevall

Top Abstract Introduction Materials and Methods Results Discussion References

 

1
1. Adachi, Y., T. Ishii, Y. Ikeda, A. Hoshino, H. Tamura, J. Aketagawa, S. Tanaka, and N. Ohno. 2004. Characterization of beta-glucan recognition site on C-type lectin, dectin 1. Infect. Immun. 72:4159-4171.[Abstract/Free Full Text]
2
2. Armstrong, C. W., S. R. Jenkins, L. Kaufman, T. M. Kerkering, B. S. Rouse, and G. B. Miller, Jr. 1987. Common-source outbreak of blastomycosis in hunters and their dogs. J. Infect. Dis. 155:568-570.[Medline]
3
3. Atochina, E. N., A. J. Gow, J. M. Beck, A. Haczku, A. Inch, H. Kadire, Y. Tomer, C. Davis, A. M. Preston, F. Poulain, S. Hawgood, and M. F. Beers. 2004. Delayed clearance of Pneumocystis carinii infection, increased inflammation, and altered nitric oxide metabolism in lungs of surfactant protein-D knockout mice. J. Infect. Dis. 189:1528-1539.[CrossRef][Medline]
4
4. Bacon, J. S. D., V. C. Farmer, D. Jones, and I. F. Taylor. 1969. The glucan components of the cell wall of Baker's yeast (Saccharomyces cerevisiae) considered in relation to ultrastructure. Biochem. J. 114:557-567.[Medline]
5
5. Beaman, L., and C. Holmberg. 1980. In vitro response of alveolar macrophages to infection with Coccidioides immitis. Infect. Immun. 28:594-600.[Abstract/Free Full Text]
6
6. Brown, G. D., and S. Gordon. 2001. Immune recognition: a new receptor for beta-glucans. Nature 413:36-37.[Medline]
7
7. Brown, G. D., P. R. Taylor, D. M. Reid, J. A. Willment, D. L. Williams, L. Martinez-Pomares, S. Y. Wong, and S. Gordon. 2002. Dectin-1 is a major beta-glucan receptor on macrophages. J. Exp. Med. 196:407-412.[Abstract/Free Full Text]
8
8. Brummer, E., L. H. Hanson, A. Restrepo, and D. A. Stevens. 1988. In vivo and in vitro activation of pulmonary macrophages by IFN-gamma for enhanced killing of Paracoccidioides brasiliensis or Blastomyces dermatitidis. J. Immunol. 140:2786-2789.[Abstract]
9
9. Brummer, E., P. A. Morozumi, and D. A. Stevens. 1980. Macrophages and fungi: in vitro effects of method of macrophage induction, activation by different stimuli, and soluble factors on Blastomyces. J. Reticuloendothel. Soc. 28:507-518.[Medline]
10
10. Brummer, E., and D. A. Stevens. 1987. Fungicidal mechanisms of activated macrophages: evidence for nonoxidative mechanisms for killing of Blastomyces dermatitidis. Infect. Immun. 55:3221-3224.[Abstract/Free Full Text]
11
11. Casadevall, A., and J. R. Perfect. 1998. Cryptococcus neoformans. ASM Press, Washington, D.C.
12
12. Cox, R. A., and G. K. Best. 1972. Cell wall composition of two strains of Blastomyces dermatitidis exhibiting differences in virulence for mice. Infect. Immun. 5:449-453.[Abstract/Free Full Text]
13
13. Crouch, E. C. 1998. Collectins and pulmonary host defense. Am. J. Respir. Cell Mol. Biol. 19:177-201.[Abstract/Free Full Text]
14
14. Crouch, E. C., K. Smith, B. McDonald, D. Briner, B. Linders, J. McDonald, U. Holmskov, J. Head, and K. Hartshorn. Species differences in the carbohydrate binding preferences of surfactant protein D. Am. J. Respir. Cell Mol. Biol, in press.
15
15. Finkel-Jimenez, B., M. Wuthrich, T. Brandhorst, and B. S. Klein. 2001. The WI-1 adhesin blocks phagocyte TNF-alpha production, imparting pathogenicity on Blastomyces dermatitidis. J. Immunol. 166:2665-2673.[Abstract/Free Full Text]
16
16. Geertsma, M. F., P. H. Nibbering, H. P. Haagsman, M. R. Daha, and R. van Furth. 1994. Binding of surfactant protein A to C1q receptors mediates phagocytosis of Staphylococcus aureus by monocytes. Am. J. Physiol. 267:L578-L584.[Medline]
17
17. Hartshorn, K., D. Chang, K. Rust, M. White, J. Heuser, and E. Crouch. 1996. Interactions of recombinant human pulmonary surfactant protein D and SP-D multimers with influenza A. Am. J. Physiol. 271:L753-L762.[Medline]
18
18. Hartshorn, K. L., E. C. Crouch, M. R. White, P. Eggleton, A. I. Tauber, D. Chang, and K. Sastry. 1994. Evidence for a protective role of pulmonary surfactant protein D (SP-D) against influenza A viruses. J. Clin. Investig. 94:311-319.[Medline]
19
19. Hartshorn, K. L., K. B. Reid, M. R. White, J. C. Jensenius, S. M. Morris, A. I. Tauber, and E. Crouch. 1996. Neutrophil deactivation by influenza A viruses: mechanisms of protection after viral opsonization with collectins and hemagglutination-inhibiting antibodies. Blood 87:3450-3461.
20
20. Hickling, T. P., H. Clark, R. Malhotra, and R. B. Sim. 2004. Collectins and their role in lung immunity. J. Leukoc. Biol. 75:27-33.[Abstract/Free Full Text]
21
21. Hirsch, C. S., J. J. Ellner, R. Blinkhorn, and Z. Toossi. 1997. In vitro restoration of T-cell responses in tuberculosis and augmentation of monocyte effector function against Mycobacterium tuberculosis by natural inhibitors of transforming growth factor beta. Proc. Natl. Acad. Sci. USA 94:3926-3931.[Abstract/Free Full Text]
22
22. Hirsch, C. S., R. Hussain, Z. Toossi, G. Dawood, F. Shahid, and J. J. Ellner. 1996. Cross-modulation by transforming growth factor beta in human tuberculosis: suppression of antigen-driven blastogenesis and interferon gamma production. Proc. Natl. Acad. Sci. USA 93:3193-3198.[Abstract/Free Full Text]
23
23. Kaplan, W., and M. K. Clifford. 1964. Blastomycosis. I. A review of 198 collected cases in Veterans Administration hospitals. Am. Rev. Respir. Dis. 89:659-672.[Medline]
24
24. Kimberlin, C. L., A. R. Hariri, H. O. Hempel, and N. L. Goodman. 1981. Interactions between Histoplasma capsulatum and macrophages from normal and treated mice: comparison of the mycelial and yeast phases in alveolar and peritoneal macrophages. Infect. Immun. 34:6-10.[Abstract/Free Full Text]
25
25. Klein, B. S., J. M. Vergeront, R. J. Weeks, U. N. Kumar, G. Mathai, B. Varkey, L. Kaufman, R. W. Bradsher, J. F. Stoebig, and J. P. Davis. 1986. Isolation of Blastomyces dermatitidis in soil associated with a large outbreak of blastomycosis in Wisconsin. N. Engl. J. Med. 314:529-534.[Abstract]
26
26. Kuan, S. F., K. Rust, and E. Crouch. 1992. Interactions of surfactant protein D with bacterial lipopolysaccharides: surfactant protein D is an Escherichia coli-binding protein in bronchoalveolar lavage. J. Clin. Investig. 90:97-106.[Medline]
27
27. LaForce, F. M., W. J. Kelly, and G. L. Huber. 1973. Inactivation of staphylococci by alveolar macrophages with preliminary observations on the importance of alveolar lining material. Am. Rev. Respir. Dis. 108:784-790.[Medline]
28
28. LeVine, A. M., J. A. Whitsett, J. A. Gwozdz, T. R. Richardson, J. H. Fisher, M. S. Burhans, and T. R. Korfhagen. 2000. Distinct effects of surfactant protein A or D deficiency during bacterial infection on the lung. J. Immunol. 165:3934-3940.[Abstract/Free Full Text]
29
29. Limper, A. H., E. C. Crouch, D. M. O'Riordan, D. Chang, Z. Vuk-Pavlovic, J. E. Standing, K. Y. Kwon, and A. Adlakha. 1995. Surfactant protein-D modulates interaction of Pneumocystis carinii with alveolar macrophages. J. Lab. Clin. Med. 126:416-422.[Medline]
30
30. Madan, T., P. Eggleton, U. Kishore, P. Strong, S. S. Aggrawal, P. U. Sarma, and K. B. Reid. 1997. Binding of pulmonary surfactant proteins A and D to Aspergillus fumigatus conidia enhances phagocytosis and killing by human neutrophils and alveolar macrophages. Infect. Immun. 65:3171-3179.[Abstract]
31
31. Madan, T., U. Kishore, A. Shah, P. Eggleton, P. Strong, J. Y. Wang, S. S. Aggrawal, P. U. Sarma, and K. B. Reid. 1997. Lung surfactant proteins A and D can inhibit specific IgE binding to the allergens of Aspergillus fumigatus and block allergen-induced histamine release from human basophils. Clin. Exp. Immunol. 110:241-249.[CrossRef][Medline]
32
32. Malhotra, R., J. S. Haurum, S. Thiel, and R. B. Sim. 1994. Binding of human collectins (SP-A and MBP) to influenza virus. Biochem. J. 304(Pt. 2):455-461.[Medline]
33
33. McCormack, F. X., R. Gibbons, S. R. Ward, A. Kuzmenko, H. Wu, and G. S. Deepe. 2003. Macrophage-independent fungicidal action of the pulmonary collectins. J. Biol. Chem. 278:36250-36256.[Abstract/Free Full Text]
34
34. Mehrad, B., R. M. Strieter, and T. J. Standiford. 1999. Role of TNF- in pulmonary host defense in murine invasive aspergillosis. J. Immunol. 162:1633-1640.[Abstract/Free Full Text]
35
35. O'Riordan, D. M., J. E. Standing, K. Y. Kwon, D. Chang, E. C. Crouch, and A. H. Limper. 1995. Surfactant protein D interacts with Pneumocystis carinii and mediates organism adherence to alveolar macrophages. J. Clin. Investig. 95:2699-2710.[Medline]
36
36. Rooney, S. A., S. L. Young, and C. R. Mendelson. 1994. Molecular and cellular processing of lung surfactant. FASEB J. 8:957-967.[Abstract]
37
37. Schaffner, A., H. Douglas, A. I. Braude, and C. E. Davis. 1983. Killing of Aspergillus spores depends on the anatomical source of the macrophage. Infect. Immun. 42:1109-1115.[Abstract/Free Full Text]
38
38. Schelenz, S., R. Malhotra, R. B. Sim, U. Holmskov, and G. J. Bancroft. 1995. Binding of host collectins to the pathogenic yeast Cryptococcus neoformans: human surfactant protein D acts as an agglutinin for acapsular yeast cells. Infect. Immun. 63:3360-3366.[Abstract]
39
39. Schwarz, J., and K. Salfelder. 1977. Blastomycosis. A review of 152 cases. Curr. Top. Pathol. 65:165-200.[Medline]
40
40. Stevens, D. A., E. Brummer, A. F. DiSalvo, and A. Ganer. 1997. Virulent isolates and mutants of Blastomyces in mice: a legacy for studies of pathogenesis. Semin. Respir. Infect. 12:189-195.[Medline]
41
41. Sugar, A. M., E. Brummer, and D. A. Stevens. 1983. Murine pulmonary macrophages: evaluation of lung lavage fluids, miniaturized monolayers, and candidacidal activity. Am. Rev. Respir. Dis. 127:110-112.[Medline]
42
42. Sugar, A. M., E. Brummer, and D. A. Stevens. 1986. Fungicidal activity of murine bronchoalveolar macrophages against Blastomyces dermatitidis. J. Med. Microbiol. 21:7-11.[Abstract/Free Full Text]
43
43. Willment, J. A., H. H. Lin, D. M. Reid, P. R. Taylor, D. L. Williams, S. Y. Wong, S. Gordon, and G. D. Brown. 2003. Dectin-1 expression and function are enhanced on alternatively activated and GM-CSF-treated macrophages and are negatively regulated by IL-10, dexamethasone, and lipopolysaccharide. J. Immunol. 171:4569-4573.[Abstract/Free Full Text]

---

Infection and Immunity, August 2006, p. 4549-4556, Vol. 74, No. 8
0019-9567/06/$08.00+0     doi:10.1128/IAI.00243-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.

This article has been cited by other articles:

• Koneti, A., Linke, M. J., Brummer, E., Stevens, D. A. (2008). Evasion of Innate Immune Responses: Evidence for Mannose Binding Lectin Inhibition of Tumor Necrosis Factor Alpha Production by Macrophages in Response to Blastomyces dermatitidis. Infect. Immun. 76: 994-1002 [Abstract] [Full Text]  
• Baldan, A., Gomes, A. V., Ping, P., Edwards, P. A. (2008). Loss of ABCG1 Results in Chronic Pulmonary Inflammation. J. Immunol. 180: 3560-3568 [Abstract] [Full Text]  

This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Reprints and Permissions Copyright Information Books from ASM Press MicrobeWorld Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Lekkala, M. Articles by Stevens, D. A. Search for Related Content PubMed PubMed Citation Articles by Lekkala, M. Articles by Stevens, D. A.