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Infection and Immunity, April 2004, p. 2229-2239, Vol. 72, No. 4
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.4.2229-2239.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Role of Extracellular Phospholipases and Mononuclear Phagocytes in Dissemination of Cryptococcosis in a Murine Model
Rosemary Santangelo,1,2 Hans Zoellner,3 Tania Sorrell,1,2 Christabel Wilson,1,2 Christine Donald,3 Julianne Djordjevic,1,2 Yi Shounan,4 and Lesley Wright1,2*
Centre for Infectious Diseases and Microbiology, University of Sydney at Westmead,1
Department of Infectious Diseases,2
Department of Renal Medicine, Westmead Hospital,4
Cellular and Molecular Pathology Research Unit, The Department of Oral Medicine and Oral Pathology, University of Sydney at Westmead Hospital Dental Clinical School, Westmead NSW 2145, Australia3
Received 20 August 2003/
Returned for modification 24 September 2003/
Accepted 9 January 2004
Secreted phospholipase B (PLB) activity promotes the survival and replication of Cryptococcus neoformans in macrophages in vitro. We therefore investigated the role of mononuclear phagocytes and cryptococcal PLB in the dissemination of infection in a mouse model, using C. neoformans var. grubii wild-type strain H99, a PLB1 deletion mutant (
plb1), and a reconstituted strain (
plb1rec). PLB facilitated the entry of endotracheally administered cryptococci into lung IM. PLB was also required for lymphatic spread from the lung to regional lymph nodes and for entry into the blood. Langhans-type giant cells containing budding cryptococci were seen free in the lymphatic sinuses of hilar nodes of H99- and
plb1rec-infected mice, suggesting that they may have a role in the dissemination of cryptococcal infection. The transfer of infected lung macrophages to recipient mice by tail vein injections demonstrated that these cells can facilitate hematogenous dissemination of cryptococci to the brain, independent of cryptococcal PLB secretion. PLB activities of cryptococci isolated from lung macrophages or infected brains were not persistently increased. We conclude that mononuclear phagocytes are a vehicle for cryptococcal dissemination and that PLB activity is necessary for the initiation of interstitial pulmonary infections and for dissemination from the lung via the lymphatics and blood. PLB is not, however, essential for the establishment of neurological infections when cryptococci are presented within, or after passage through, mononuclear phagocytes.
* Corresponding author. Mailing address: Centre for Infectious Diseases and Microbiology, Level 3, ICPMR Building, Westmead Hospital, Westmead NSW 2145, Australia. Phone: 612-98457367. Fax: 612-98915317. E-mail:
lesleyw{at}icpmr.wsahs.nsw.gov.au.
Editor: T. R. Kozel
Infection and Immunity, April 2004, p. 2229-2239, Vol. 72, No. 4
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.4.2229-2239.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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