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ABSTRACT: Background
The commensal yeast Candida albicans is a major cause of invasive fungal infections. Despite treatment with antifungal agents, the mortality rate attributed to these types of infection is high. Although numerous cases have been reported regarding a poor outcome for patients with bacterial and C. albicans coinfection, the mechanisms by which the coinfecting bacteria exacerbate the C. albicans infection remain elusive.Methods and results
We evaluated how glycolipid-mediated activation of invariant natural killer T (iNKT) cells affects the clearance of C. albicans. Surprisingly, C. albicans-infected, glycolipid-treated mice exhibited significantly lower survival rates, increased fungal burden, and higher interleukin (IL)-6 production in the kidneys compared with control mice. Glycolipid-induced exacerbation of C. albicans infection was not observed in interferon-gamma knockout (IFN-?KO) mice. In the C. albicans-infected, glycolipid-treated mice, the number of neutrophils in the blood and bone marrow dramatically decreased in an IFN-?-dependent manner. Furthermore, mice that were coinfected with C. albicans and nonfermentative gram-negative commensal bacteria exhibited increased fungal burden and inflammatory cytokine production in the kidneys that were dependent on IFN-? and iNKT cells.Conclusions
Our results indicate that coinfecting commensal bacteria exacerbate C. albicans infection through IFN-? produced, in part, by iNKT cells.
SUBMITTER: Tarumoto N
PROVIDER: S-EPMC3923539 | biostudies-literature | 2014 Mar
REPOSITORIES: biostudies-literature
Tarumoto Norihito N Kinjo Yuki Y Kitano Naoki N Sasai Daisuke D Ueno Keigo K Okawara Akiko A Izawa Yuina Y Shinozaki Minoru M Watarai Hiroshi H Taniguchi Masaru M Takeyama Haruko H Maesaki Shigefumi S Shibuya Kazutoshi K Miyazaki Yoshitsugu Y
The Journal of infectious diseases 20131004 5
<h4>Background</h4>The commensal yeast Candida albicans is a major cause of invasive fungal infections. Despite treatment with antifungal agents, the mortality rate attributed to these types of infection is high. Although numerous cases have been reported regarding a poor outcome for patients with bacterial and C. albicans coinfection, the mechanisms by which the coinfecting bacteria exacerbate the C. albicans infection remain elusive.<h4>Methods and results</h4>We evaluated how glycolipid-media ...[more]