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2.
PLoS Negl Trop Dis ; 18(9): e0012452, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39226308

ABSTRACT

The formamidase (FMD) enzyme plays an important role in fungal thriving by releasing a secondary nitrogen source as a product of its activity. In Paracoccidioides species, previous studies have demonstrated the upregulation of this enzyme in a wide range of starvation and infective-like conditions. However, Paracoccidioides lutzii formamidase has not yet been defined as a virulence factor. Here, by employing in vivo infections using an fmd-silenced strain in Galleria mellonella larvae model, we demonstrate the influence of formamidase in P. lutzii's immune stimulation and pathogenicity. The formamidase silencing resulted in improper arrangement of the nodules, poor melanogenesis and decreased fungal burden. Thus, we suggest that formamidase may be a piece composing the process of molecular recognition by Galleria immune cells. Furthermore, formamidase silencing doubled the observed survival rate of the larvae, demonstrating its importance in fungal virulence in vivo. Therefore, our findings indicate that formamidase contributes to Galleria's immune incitement and establishes the role of this enzyme as a P. lutzii virulence factor.


Subject(s)
Larva , Moths , Paracoccidioides , Virulence Factors , Animals , Virulence Factors/genetics , Virulence Factors/metabolism , Larva/microbiology , Moths/microbiology , Paracoccidioides/pathogenicity , Paracoccidioides/enzymology , Paracoccidioides/genetics , Virulence , Paracoccidioidomycosis/microbiology , Fungal Proteins/genetics , Fungal Proteins/metabolism , Disease Models, Animal , Gene Silencing
3.
J Comp Pathol ; 214: 1-6, 2024 Oct.
Article in English | MEDLINE | ID: mdl-39154414

ABSTRACT

Paracoccidioidomycosis (PCM) is an endemic fungal disease that occurs in Latin America and primarily affects humans. The disease has been rarely documented in non-human primates. This report details a disseminated and fatal case of PCM caused by Paracoccidioides brasiliensis in a western black-handed tamarin (Saguinus niger) under human care. Histopathological examination revealed extensive pyogranulomatous inflammation in the lungs, spleen, liver, lymph nodes, kidneys, epididymis, right testicle, heart, adrenal gland and intestines, associated with characteristic yeast forms consistent with Paracoccidioides spp and confirmed by immunohistochemistry. Molecular analysis indicated a high nucleotide similarity with P. brasiliensis sequences for both the 18S rRNA and gp43 genes. This naturally occurring infection highlights the susceptibility of these animals to PCM and their role in ecoepidemiology warrants further investigation.


Subject(s)
Monkey Diseases , Paracoccidioidomycosis , Saguinus , Animals , Paracoccidioidomycosis/veterinary , Monkey Diseases/microbiology , Monkey Diseases/pathology , Male , Paracoccidioides
4.
Med Mycol ; 62(9)2024 Sep 06.
Article in English | MEDLINE | ID: mdl-39210503

ABSTRACT

Lobomycosis, also called paracoccidioidomycosis ceti, is a chronic mycotic cutaneous disease affecting odontocetes. Lobomycosis-like disease (LLD) has a clinical presentation consistent with lobomycosis but lacks a histological and molecular diagnosis. We review the literature on lobomycosis aetiology, clinical signs and pathogenesis, species affected and geographic distribution and examine the factors influencing the presence, transmission and prevalence of the disease, to better understand its ecology. In addition, we provide unpublished information on LLD in two common bottlenose dolphin (Tursiops truncatus) communities inhabiting the Gulf of Guayaquil, Ecuador. Lobomycosis and LLD occur in Delphinidae from the Atlantic, Pacific, and Indian Oceans between 33°N and 35°S. Primary risk factors include habitat, sex, age, sociality, and pollution. In dolphins from the Americas and Japan, lobomycosis is caused by Paracoccidioides ceti, family Ajellomycetaceae. The disease is characterized by cutaneous granulomatous lesions that may occur anywhere on the body, grow to large size, and may ulcerate. Histologically, the lesions consist of acanthosis and histiocytic granulomas between the skin and subcutaneous tissues, with inflammatory changes that extend deep into the dermis. Multiple yeast cells with a double refringent layer stained positive using Gomori-Grocott methenamine silver in the dermis of a T. truncatus from Ecuador diagnosed with LLD since 2011, a first record for the Southeast Pacific. Injuries may enable the entry of P. ceti into the dermis while skin contact likely favours transmission, putting males at higher risk than females. Lobomycosis and LLD may have a negative impact on small communities already threatened by anthropogenic factors.


We review lobomycosis and lobomycosis-like disease in cetaceans and give new information for bottlenose dolphins (Tursiops truncatus) from the Gulf of Guayaquil, Ecuador. Caused by Paracoccidioides ceti, the disease affects several dolphin species worldwide, including in Ecuador, for which we present a first record.


Subject(s)
Lobomycosis , Animals , Ecuador/epidemiology , Lobomycosis/pathology , Lobomycosis/microbiology , Lobomycosis/veterinary , Lobomycosis/epidemiology , Paracoccidioides/isolation & purification , Cetacea/microbiology , Prevalence , Risk Factors , Male , Skin/microbiology , Skin/pathology , Female , Paracoccidioidomycosis/veterinary , Paracoccidioidomycosis/epidemiology , Paracoccidioidomycosis/microbiology , Paracoccidioidomycosis/pathology
5.
Front Cell Infect Microbiol ; 14: 1392744, 2024.
Article in English | MEDLINE | ID: mdl-39035356

ABSTRACT

Background: Paracoccidioidomycosis (PCM) is a systemic endemic fungal disease prevalent in Latin America. Previous studies revealed that host immunity against PCM is tightly regulated by several suppressive mechanisms mediated by tolerogenic plasmacytoid dendritic cells, the enzyme 2,3 indoleamine dioxygenase (IDO-1), regulatory T-cells (Tregs), and through the recruitment and activation of myeloid-derived suppressor cells (MDSCs). We have recently shown that Dectin-1, TLR2, and TLR4 signaling influence the IDO-1-mediated suppression caused by MDSCs. However, the contribution of these receptors in the production of important immunosuppressive molecules used by MDSCs has not yet been explored in pulmonary PCM. Methods: We evaluated the expression of PD-L1, IL-10, as well as nitrotyrosine by MDSCs after anti-Dectin-1, anti-TLR2, and anti-TLR4 antibody treatment followed by P. brasiliensis yeasts challenge in vitro. We also investigated the influence of PD-L1, IL-10, and nitrotyrosine in the suppressive activity of lung-infiltrating MDSCs of C57BL/6-WT, Dectin-1KO, TLR2KO, and TLR4KO mice after in vivo fungal infection. The suppressive activity of MDSCs was evaluated in cocultures of isolated MDSCs with activated T-cells. Results: A reduced expression of IL-10 and nitrotyrosine was observed after in vitro anti-Dectin-1 treatment of MDSCs challenged with fungal cells. This finding was further confirmed in vitro and in vivo by using Dectin-1KO mice. Furthermore, MDSCs derived from Dectin-1KO mice showed a significantly reduced immunosuppressive activity on the proliferation of CD4+ and CD8+ T lymphocytes. Blocking of TLR2 and TLR4 by mAbs and using MDSCs from TLR2KO and TLR4KO mice also reduced the production of suppressive molecules induced by fungal challenge. In vitro, MDSCs from TLR4KO mice presented a reduced suppressive capacity over the proliferation of CD4+ T-cells. Conclusion: We showed that the pathogen recognition receptors (PRRs) Dectin-1, TLR2, and TLR4 contribute to the suppressive activity of MDSCs by inducing the expression of several immunosuppressive molecules such as PD-L1, IL-10, and nitrotyrosine. This is the first demonstration of a complex network of PRRs signaling in the induction of several suppressive molecules by MDSCs and its contribution to the immunosuppressive mechanisms that control immunity and severity of pulmonary PCM.


Subject(s)
B7-H1 Antigen , Disease Models, Animal , Interleukin-10 , Lectins, C-Type , Mice, Inbred C57BL , Myeloid-Derived Suppressor Cells , Paracoccidioidomycosis , Toll-Like Receptor 2 , Toll-Like Receptor 4 , Animals , Mice , Interleukin-10/metabolism , Toll-Like Receptor 2/metabolism , Toll-Like Receptor 2/genetics , Toll-Like Receptor 2/immunology , Myeloid-Derived Suppressor Cells/immunology , Myeloid-Derived Suppressor Cells/metabolism , Toll-Like Receptor 4/metabolism , Toll-Like Receptor 4/genetics , Toll-Like Receptor 4/immunology , Lectins, C-Type/metabolism , Lectins, C-Type/genetics , B7-H1 Antigen/metabolism , B7-H1 Antigen/genetics , Paracoccidioidomycosis/immunology , Paracoccidioides/immunology , Tyrosine/analogs & derivatives , Tyrosine/metabolism , T-Lymphocytes, Regulatory/immunology , Lung/immunology , Lung/microbiology , Signal Transduction , Male , Indoleamine-Pyrrole 2,3,-Dioxygenase/metabolism , Indoleamine-Pyrrole 2,3,-Dioxygenase/genetics , Mice, Knockout
6.
mBio ; 15(8): e0014424, 2024 Aug 14.
Article in English | MEDLINE | ID: mdl-38953355

ABSTRACT

Dimorphism is known among the etiologic agents of endemic mycoses as well as in filamentous Mucorales. Under appropriate thermal conditions, mononuclear yeast forms alternate with multi-nucleate hyphae. Here, we describe a dimorphic mucoralean fungus obtained from the sputum of a patient with Burkitt lymphoma and ongoing graft-versus-host reactions. The fungus is described as Mucor germinans sp. nov. Laboratory studies were performed to simulate temperature-dependent dimorphism, with two environmental strains Mucor circinelloides and Mucor kunryangriensis as controls. Both strains could be induced to form multinucleate arthrospores and subsequent yeast-like cells in vitro. Multilateral yeast cells emerge in all three Mucor species at elevated temperatures. This morphological transformation appears to occur at body temperature since the yeast-like cells were observed in the lungs of our immunocompromised patient. The microscopic appearance of the yeast-like cells in the clinical samples is easily confused with that of Paracoccidioides. The ecological role of yeast forms in Mucorales is discussed.IMPORTANCEMucormycosis is a devastating disease with high morbidity and mortality in susceptible patients. Accurate diagnosis is required for timely clinical management since antifungal susceptibility differs between species. Irregular hyphal elements are usually taken as the hallmark of mucormycosis, but here, we show that some species may also produce yeast-like cells, potentially being mistaken for Candida or Paracoccidioides. We demonstrate that the dimorphic transition is common in Mucor species and can be driven by many factors. The multi-nucleate yeast-like cells provide an effective parameter to distinguish mucoralean infections from similar yeast-like species in clinical samples.


Subject(s)
Mucor , Mucormycosis , Humans , Mucormycosis/microbiology , Mucormycosis/diagnosis , Mucor/isolation & purification , Mucor/genetics , Mucor/classification , Paracoccidioides/isolation & purification , Paracoccidioides/genetics , Sputum/microbiology , Phylogeny , DNA, Fungal/genetics , DNA, Fungal/chemistry , Immunocompromised Host , Male , Sequence Analysis, DNA , Temperature
7.
Int Immunopharmacol ; 138: 112606, 2024 Sep 10.
Article in English | MEDLINE | ID: mdl-38963980

ABSTRACT

BACKGROUND: Celecoxib, an anti-inflammatory drug, combined therapies using antimicrobials and immune modulator drugs are being studied. OBJECTIVE: To assess whether Celecoxib has direct in vitro antifungal effect against the Paracoccidioides brasiliensis, the causative agent of Paracoccidioidomycosis-(PCM) and also if it improves the in vivo activity of neutrophils-(PMN) in an experimental murine subcutaneous-(air pouch) model of the disease. METHODS: The antifungal activity of Celecoxib(6 mg/mL) on P. brasiliensis-(Pb18) was evaluated using the microdilution technique. Splenocytes co-cultured with Pb18 and treated with Celecoxib(6 mg/mL) were co-cultured for 24, 48 and 72-hours. Swiss mice were inoculated with Pb18 and treated with Celecoxib(6 mg/kg) in the subcutaneous air pouch. Neutrophils were collected from the air pouch. Mitochondrial activity, reactive oxygen production, catalase, peroxidase, cytokines and chemokines, nitrogen species, total protein, microbicidal activity of PMNs and viable Pb18 cells numbers were analyzed. RESULTS: Celecoxib had no cytotoxic effect on splenocytes co-cultured with Pb18, but had a marked direct antifungal effect, inhibiting fungal growth both in vitro and in vivo. Celecoxib interaction with immune system cells in the air pouch, it leads to activation of PMNs, as confirmed by several parameters (mitochondrial activity, reactive oxygen species, peroxidase, KC and IL-6 increase, killing constant and phagocytosis). Celecoxib was able to reduce IL-4, IL-10 and IL-12 cytokine production. The number of recovered viable Pb18 decreased dramatically. CONCLUSIONS: This is the first report of the direct antifungal activity of Celecoxib against P. brasiliensis. The use of Celecoxib opens a new possibility for future treatment of PCM.


Subject(s)
Antifungal Agents , Celecoxib , Neutrophils , Paracoccidioides , Paracoccidioidomycosis , Animals , Paracoccidioides/drug effects , Paracoccidioides/immunology , Mice , Celecoxib/pharmacology , Neutrophils/drug effects , Neutrophils/immunology , Paracoccidioidomycosis/drug therapy , Paracoccidioidomycosis/immunology , Antifungal Agents/pharmacology , Antifungal Agents/therapeutic use , Cytokines/metabolism , Cells, Cultured , Male , Spleen/immunology , Spleen/cytology , Spleen/drug effects , Disease Models, Animal , Reactive Oxygen Species/metabolism
8.
Rev Iberoam Micol ; 41(1): 27-30, 2024.
Article in English | MEDLINE | ID: mdl-38897873

ABSTRACT

BACKGROUND: Paracoccidioidomycosis is a neglected tropical disease caused by fungi of the genus Paracoccidioides. A wide range of symptoms is related to the disease; however, lungs and skin are the sites predominantly affected. The disease is mostly seen in people living in rural areas in Latin America. CASE REPORT: We present a pediatric case of severe disseminated paracoccidioidomycosis that slowly responded to the antifungal treatment. Within three months, symptoms evolved into hepatosplenomegaly, necrotic cervical and abdominal lymph nodes, and splenic abscess. Clinical response to amphotericin B deoxycholate and itraconazole was slow, resulting in pleural and peritoneal cavity effusions, heart failure and shock. Amphotericin B deoxycholate was replaced by the liposomal formulation, with no response. Subsequently, prednisone was added to the treatment, which led to improvement in the clinical response. Serological Paracoccidioides antibody titers were atypical, with very low titers in the critical phase and significant increase during the convalescence phase. The infection was finally cleared up with amphotericin B deoxycholate, liposomal amphotericin B and the use of corticosteroids. Paracoccidioidomycosis serology was non-reactive two years post-discharge. CONCLUSIONS: Due to the intense inflammatory response triggered by Paracoccidioides cells, giving low-dose prednisone for a short period of time modulated the inflammatory response and supported antifungal treatment.


Subject(s)
Paracoccidioidomycosis , Prednisone , Humans , Paracoccidioidomycosis/drug therapy , Paracoccidioidomycosis/diagnosis , Prednisone/therapeutic use , Male , Infant , Antifungal Agents/therapeutic use , Glucocorticoids/therapeutic use , Paracoccidioides/isolation & purification , Paracoccidioides/drug effects , Amphotericin B/therapeutic use
9.
Med Mycol ; 62(6)2024 Jun 27.
Article in English | MEDLINE | ID: mdl-38935909

ABSTRACT

The World Health Organization, in response to the growing burden of fungal disease, established a process to develop a fungal pathogen priority list. This systematic review aimed to evaluate the epidemiology and impact of infections caused by Talaromyces marneffei, Coccidioides species, and Paracoccidioides species. PubMed and Web of Sciences databases were searched to identify studies published between 1 January 2011 and 23 February 2021 reporting on mortality, complications and sequelae, antifungal susceptibility, preventability, annual incidence, and trends. Overall, 25, 17, and 6 articles were included for T. marneffei, Coccidioides spp. and Paracoccidioides spp., respectively. Mortality rates were high in those with invasive talaromycosis and paracoccidioidomycosis (up to 21% and 22.7%, respectively). Hospitalization was frequent in those with coccidioidomycosis (up to 84%), and while the duration was short (mean/median 3-7 days), readmission was common (38%). Reduced susceptibility to fluconazole and echinocandins was observed for T. marneffei and Coccidioides spp., whereas >88% of T. marneffei isolates had minimum inhibitory concentration values ≤0.015 µg/ml for itraconazole, posaconazole, and voriconazole. Risk factors for mortality in those with talaromycosis included low CD4 counts (odds ratio 2.90 when CD4 count <200 cells/µl compared with 24.26 when CD4 count <50 cells/µl). Outbreaks of coccidioidomycosis and paracoccidioidomycosis were associated with construction work (relative risk 4.4-210.6 and 5.7-times increase, respectively). In the United States of America, cases of coccidioidomycosis increased between 2014 and 2017 (from 8232 to 14 364/year). National and global surveillance as well as more detailed studies to better define sequelae, risk factors, outcomes, global distribution, and trends are required.


Subject(s)
Antifungal Agents , Coccidioides , Paracoccidioides , Talaromyces , World Health Organization , Talaromyces/isolation & purification , Talaromyces/classification , Talaromyces/drug effects , Humans , Paracoccidioides/isolation & purification , Paracoccidioides/drug effects , Paracoccidioides/classification , Antifungal Agents/pharmacology , Antifungal Agents/therapeutic use , Coccidioides/isolation & purification , Coccidioides/classification , Coccidioides/drug effects , Mycoses/epidemiology , Mycoses/microbiology , Mycoses/mortality , Paracoccidioidomycosis/epidemiology , Paracoccidioidomycosis/microbiology , Paracoccidioidomycosis/drug therapy , Coccidioidomycosis/epidemiology , Coccidioidomycosis/microbiology , Microbial Sensitivity Tests
11.
Vet Res Commun ; 48(4): 2583-2588, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38758425

ABSTRACT

Paracoccidioidomycosis (PCM) is a systemic mycosis endemic in Latin American countries and one of the most important fungal diseases regarding incidence and mortality in humans. PCM has also been described in some animal species such as dogs. In this study we describe a new case of PCM disease in a dog that differed from previous records in the literature which includes a progressive evolution of fungal dermatitis causing a deforming lesion in the nose, like those found in human patients, and humoral response against gp70 instead of gp43, the major diagnostic antigen for human PCM. The clinical isolate through the ITS and partial gp43 gene phylogenetic analysis was grouped in the Paracoccidioides brasiliensis complex. This case describes several features which may contribute to improving diagnosis and understanding of canine paracoccidioidomycosis.


Subject(s)
Dog Diseases , Paracoccidioides , Paracoccidioidomycosis , Phylogeny , Paracoccidioidomycosis/veterinary , Paracoccidioidomycosis/diagnosis , Paracoccidioidomycosis/microbiology , Animals , Dogs , Paracoccidioides/isolation & purification , Paracoccidioides/genetics , Dog Diseases/microbiology , Dog Diseases/diagnosis , Male , Chronic Disease
12.
Rev Soc Bras Med Trop ; 57: e007052024, 2024.
Article in English | MEDLINE | ID: mdl-38808801

ABSTRACT

BACKGROUND: Accurate diagnosis of paracoccidioidomycosis is crucial for improving patient outcomes. Paracoccidioides antibody detection by double immunodiffusion (DID) is a convenient diagnostic tool, but testing performance can vary based on certain factors. METHODS: We assessed DID performance using a commercially prepared Paracoccidioides reagents (IMMY, USA), involving 40 serum specimens, including 20 from patients with proven paracoccidioidomycosis and 20 from patients without the disease. The DID test demonstrated a sensitivity of 90% (95% CI=68%-99%) and a specificity of 100% (95% CI=83%-100%). CONCLUSIONS: Our findings suggest that DID using commercial reagents may provide a feasible tool with satisfactory testing performance for anti-Paracoccidioides antibody detection.


Subject(s)
Antibodies, Fungal , Immunodiffusion , Paracoccidioides , Paracoccidioidomycosis , Sensitivity and Specificity , Humans , Antibodies, Fungal/blood , Paracoccidioidomycosis/diagnosis , Paracoccidioidomycosis/immunology , Paracoccidioides/immunology , Reagent Kits, Diagnostic , Female , Male
13.
Photochem Photobiol Sci ; 23(7): 1295-1307, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38806861

ABSTRACT

Paracoccidioidomycosis (PCM) is a systemic mycosis with serious clinical consequences in which the use of antifungal drugs requires long-term treatment. Therefore, we studied the effect of low-level LASER therapy (LLLT) to evaluate its prospects as a complementary treatment for PCM and improve the clinical response to the disease. OBJECTIVES: Our study focused on the resolution of lesions caused by fungal infection using a subcutaneous air pouch model of infection. METHODS: We evaluated cell profile and cytokines, fungi viability, and the presence of fibroblasts and fibrocytes at the site of infection. Inoculation of P. brasiliensis (Pb) was performed using a subcutaneous air pouch model and the LLLT irradiation was performed on alternate days on the rear paws of mice for 10 days, after which the cells from the air pouch were collected and analyzed. RESULTS: In animals irradiated with LLLT, the influx of cells to the air pouch was reduced, but they were more activated and produced pro-inflammatory (IL-12, IL-17 and TNF-α) and neutrophil (PMN) activating cytokines (IL-8, GM-CSF and γ-IFN). A better resolution of the infection, evidenced by the reduction in the number of viable fungi with preserved morphology in the air pouch, and an increase in the number of fibrocytes, indicating a healing profile were also observed. CONCLUSION: LLLT decreased the influx of PMN, but those presents were highly activated, with increased fungicidal activity. LLLT irradiation also resulted in earlier cicatrization at the site of infection, leading to a better outcome of the infection. These data are favorable to the use of LLLT as a complementary therapy in PCM.


Subject(s)
Cytokines , Low-Level Light Therapy , Paracoccidioidomycosis , Th1 Cells , Th2 Cells , Animals , Mice , Cytokines/metabolism , Th1 Cells/immunology , Th1 Cells/metabolism , Paracoccidioidomycosis/radiotherapy , Paracoccidioidomycosis/immunology , Paracoccidioidomycosis/pathology , Th2 Cells/immunology , Th2 Cells/metabolism , Paracoccidioides/immunology , Mice, Inbred BALB C , Male
14.
Mikrochim Acta ; 191(5): 287, 2024 04 26.
Article in English | MEDLINE | ID: mdl-38671236

ABSTRACT

To overcome the limitations of current methods for diagnosing paracoccidioidomycosis (PCM), it is critical to develop novel diagnostic strategies that can be implemented in low-resource settings and dramatically improve turnaround times. This study focused on the development of a portable molecular test to screen for Paracoccidioides spp. The proposed approach integrated double-tagging polymerase chain reaction (PCR) and a paper-based lateral flow assay (LFA) for readout, using carbon nanoparticles as a signal generation system. Primers tagged with biotin and digoxigenin were employed to conduct the double-tagging PCR, which can be conveniently carried out on portable thermocyclers. This method can generate billions of tagged DNA copies from a single target molecule, which can be rapidly detected by the LFA platform, providing results within minutes. Avidin-modified carbon nanoparticles served as a signal generation system, enabling detection in the immunochromatographic assay. The LFA demonstrated the capability to detect double-tagged amplicons as low as 0.21 ng or 0.10 ng, depending on whether the results were assessed visually or with a smartphone equipped with an image processor. These findings suggest that the proposed approach holds great promise as a point-of-care diagnostic tool for the early and accurate detection of PCM in low-resource settings. The diagnostic test is rapid and inexpensive, requires minimal handling and can be easily introduced into the general practitioner's armoury for ambulatory screening of infection. This innovative approach has the potential to make a substantial contribution to PCM diagnosis, ultimately reducing morbidity and mortality associated with this disease.


Subject(s)
Carbon , DNA, Fungal , Nanoparticles , Paracoccidioides , Paracoccidioides/genetics , Paracoccidioides/isolation & purification , Carbon/chemistry , Nanoparticles/chemistry , DNA, Fungal/genetics , DNA, Fungal/analysis , Paracoccidioidomycosis/diagnosis , Paracoccidioidomycosis/microbiology , Humans , Polymerase Chain Reaction/methods , Limit of Detection
15.
PLoS One ; 19(3): e0300364, 2024.
Article in English | MEDLINE | ID: mdl-38512915

ABSTRACT

Paracoccidioides fungi are thermodimorphic microorganisms that cause paracoccidioidomycosis (PCM), an autochthonous disease from Latin America, with most cases in Brazil. Humans become infected by inhaling conidia or mycelial fragments that transform into yeast at body temperature. These fungi cause chronic-granulomatous inflammation, which may promote fibrosis and parenchyma destruction in the lungs. In response to stress imposed by the host, fungi Paracoccidioides spp. increase the expression of heat shock proteins (HSP), which protect them by sustaining cellular proteostasis. Our group has studied the role of HSP60 in PCM, and previous data show that the recombinant HSP60 (rHSP60) has a deleterious effect when used in a single dose as therapy for experimental PCM. Here, we investigated the mechanism by which rHSP60 could worsen the disease. We found that rHSP60 caused the viability loss of splenic or lymph node cells from both immunized and non-immunized mice, including in splenic T lymphocytes under polyclonal stimulation with concanavalin A, probably by undergoing apoptosis. Among analyzed splenic cells, lymphocytes were indeed the main cells to die. When we investigated the death mechanisms, remarkably, we found that there was no viability loss in rHSP60-stimulated splenic cells from mice deficient in Toll-like receptor 4, TRIF adapter protein, and TNF receptor 1(TNFR1), as well as rHSP60-stimulated WT cells incubated with anti-TNF antibody. Besides, caspase-8 inhibitor IETD-CHO blocked the rHSP60 effect on splenic cells, suggesting that rHSP60 induces the extrinsic apoptosis pathway dependent on signaling via TLR4/TRIF and TNFR1.


Subject(s)
Paracoccidioides , Paracoccidioidomycosis , Humans , Mice , Animals , Toll-Like Receptor 4 , Receptors, Tumor Necrosis Factor, Type I , Tumor Necrosis Factor Inhibitors , Paracoccidioidomycosis/microbiology , Tumor Necrosis Factor-alpha , Inflammation , Lymphocytes/pathology , Adaptor Proteins, Vesicular Transport
16.
Am J Trop Med Hyg ; 110(5): 961-964, 2024 May 01.
Article in English | MEDLINE | ID: mdl-38531110

ABSTRACT

Co-occurrence of paracoccidioidomycosis and strongyloidiasis in immunosuppressed patients, particularly those infected with human T-lymphotropic virus type 1/2, is infrequent. We describe the case of a Peruvian farmer from the central jungle with human T-lymphotropic virus type 1/2 infection, with 2 months of illness characterized by respiratory and gastrointestinal symptoms associated with fever, weight loss, and enlarged lymph nodes. Strongyloides stercoralis and Paracoccidioides brasiliensis were isolated in sputum and bronchoalveolar lavage samples, respectively. The clinical evolution was favorable after the patient received ivermectin and amphotericin B. We hypothesize that autoinfestation by S. stercoralis in human T-lymphotropic virus type 1/2-infected patients may contribute to the disseminated presentation of Paracoccidioides spp. Understanding epidemiological context is crucial for suspecting opportunistic regional infections, particularly those that may coexist in immunosuppressed patients.


Subject(s)
HTLV-I Infections , Ivermectin , Paracoccidioidomycosis , Strongyloides stercoralis , Strongyloidiasis , Humans , Paracoccidioidomycosis/drug therapy , Paracoccidioidomycosis/complications , Paracoccidioidomycosis/diagnosis , Strongyloidiasis/drug therapy , Strongyloidiasis/complications , Strongyloidiasis/diagnosis , Male , HTLV-I Infections/complications , Animals , Ivermectin/therapeutic use , Strongyloides stercoralis/isolation & purification , Human T-lymphotropic virus 1/isolation & purification , Paracoccidioides/isolation & purification , Coinfection , HTLV-II Infections/complications , Immunocompromised Host , Amphotericin B/therapeutic use , Antifungal Agents/therapeutic use , Adult
17.
Virulence ; 15(1): 2329573, 2024 12.
Article in English | MEDLINE | ID: mdl-38511558

ABSTRACT

Extracellular vesicles (EVs) are membrane-enclosed nanoparticles that transport several biomolecules and are involved in important mechanisms and functions related to the pathophysiology of fungal diseases. EVs from Paracoccidioides brasiliensis, the main causative agent of Paracoccidioidomycosis (PCM), modulate the immune response of macrophages. In this study, we assessed the EVs proteome from a virulent P. brasiliensis isolated from granulomatous lesions and compared their immunomodulatory ability with EVs isolated from the fungus before the animal passage (control EVs) when challenging macrophages and dendritic cells (DCs). Proteome showed that virulent EVs have a higher abundance of virulence factors such as GP43, protein 14-3-3, GAPDH, as well as virulence factors never described in PCM, such as aspartyl aminopeptidase and a SidJ analogue compared with control EVs. Virulent extracellular vesicles induced higher expression of TLR4 and Dectin-1 than control EVs in macrophages and dendritic cells (DCs). In opposition, a lower TLR2 expression was induced by virulent EVs. Additionally, virulent EVs induced lower expression of CD80, CD86 and TNF-α, but promoted a higher expression of IL-6 and IL-10, suggesting that EVs isolated from virulent P. brasiliensis-yeast promote a milder DCs and macrophage maturation. Herein, we showed that EVs from virulent fungi stimulated a higher frequency of Th1/Tc1, Th17, and Treg cells, which gives new insights into fungal extracellular vesicles. Taken together, our results suggest that P. brasiliensis utilizes its EVs as virulence bags that manipulate the immune system in its favour, creating a milder immune response and helping with fungal evasion from the immune system.


Subject(s)
Extracellular Vesicles , Lectins, C-Type , Paracoccidioides , Paracoccidioidomycosis , Animals , Toll-Like Receptor 4/genetics , Toll-Like Receptor 4/metabolism , Proteome , Paracoccidioidomycosis/microbiology , Extracellular Vesicles/metabolism , Virulence Factors
18.
Microb Pathog ; 188: 106537, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38211834

ABSTRACT

Paracoccidioidomycosis (PCM) is a systemic mycosis caused by Paracoccidioides spp. The interaction mediated by the presence of adhesins on the fungal surface and receptors in the extracellular matrix of the host, as well as the biofilm formation, is essential in its pathogenesis. Adhesins such as gp43, enolase, GAPDH (glyceraldehyde-3-phosphate dehydrogenase), and 14-3-3 have been demonstrated in the Paracoccidioides brasiliensis (Pb18) strain and recognized as necessary in the fungus-host interaction. The Pb 18 strain silenced to 14-3-3 showed changes in morphology, virulence, and adhesion capacity. The study aimed to evaluate the role of adhesin 14-3-3 in P. brasiliensis biofilm formation and the differential expression of genes related to adhesins, comparing planktonic and biofilm forms. The presence of biofilm was also verified in sutures in vitro and in vivo. The silenced strain (Pb14-3-3 aRNA) was compared with the wild type Pb18, determining the differential metabolic activity between the strains by the XTT reduction assay; the biomass by violet crystal and the polysaccharides by safranin, even as morphological differences by microscopic techniques. Differential gene expression for adhesins was also analyzed, comparing the relative expression of these in planktonic and biofilm forms at different times. The results suggested that the silencing of 14-3-3 protein altered the ability to form biofilm and its metabolism. The quantity of biomass was similar in both strains; however, the formation of exopolymeric substances and polysaccharide material was lower in the silenced strain. Our results showed increased expression of enolase, GAPDH, and 14-3-3 genes in the first periods of biofilm formation in the Pb18 strain. In contrast, the silenced strain showed a lower expression of these genes, indicating that gene silencing can influence the expression of other genes and be involved in the biofilm formation of P. brasiliensis. In vitro and in vivo assays using sutures confirmed this yeast's ability to form biofilm and may be implicated in the pathogenesis of paracoccidioidomycosis.


Subject(s)
Paracoccidioides , Paracoccidioidomycosis , Paracoccidioides/genetics , 14-3-3 Proteins/genetics , 14-3-3 Proteins/metabolism , Glyceraldehyde-3-Phosphate Dehydrogenases , Biofilms , Adhesins, Bacterial/metabolism , Phosphopyruvate Hydratase/genetics
19.
Braz J Microbiol ; 55(1): 837-842, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38238556

ABSTRACT

Paracoccidioidomycosis is an infection with the potential for environmental dissemination, especially in regions of hot and humid climate, where human cases have been recorded in the Southwestern Amazon of Brazil, specifically in the state of Acre. Despite studies providing information about the presence of these fungi in soil and animal samples, such as armadillos, further investigations are still needed to determine the epidemiological distribution of the genus Paracoccidioides. The aim of this study was to detect the occurrence of Paracoccidioides fungi in the Southwestern Amazon. To achieve this, 60 soil samples were collected from armadillo burrows on rural properties in the in the municipalities of Acrelândia, Bujari, Plácido de Castro, Rio Branco, Sena Madureira, and Senador Guiomard, located in the state of Acre, Brazil. Fungal DNA was extracted from these samples using the DNEASY® PowerSoil kit-Quiagen, followed by Nested PCR technique with ITS4 and ITS5 as external primers, and PBITS-E and PBITS-R as internal primers. DNA amplification products of about 380 bp compatible with Paracoccidioides spp. were detected in six samples (10%), being sequenced and identified as P. brasiliensis. These findings indicate that the soils of the Acre state could be considered a potential source for Paracoccidioides spp., suggesting that local infections are likely.


Subject(s)
Paracoccidioides , Paracoccidioidomycosis , Animals , Humans , Paracoccidioides/genetics , Soil Microbiology , Fungi , Soil , Paracoccidioidomycosis/epidemiology , Paracoccidioidomycosis/microbiology , Brazil/epidemiology
20.
Biochimie ; 218: 20-33, 2024 Mar.
Article in English | MEDLINE | ID: mdl-37709188

ABSTRACT

The pathogen Paracoccidioides lutzii (Pb01) is found in South America countries Colombia, Ecuador, Venezuela and Brazil, especially in the central, west, and north regions of the latter. It belongs to the Ajellomycetaceae family, Onygenales order, and is typically thermodimorphic, presenting yeast cells when it grows in animal tissues, but mycelia when in the environment, where it produces the infectious propagule. This fungus is one of the etiologic agents of Paracoccidioidomycosis (PCM), the most important endemic fungal infection in Latin America. Investigations on its genome have contributed to a better understanding about its metabolism and revealed the complexity of several metabolic glycolytic pathways. Glyceraldehyde-3-Phosphate Dehydrogenase from Paracoccidioides lutzii (PlGAPDH) is considered a moonlighting protein and participates in several biological processes of this pathogen. The enzyme was expressed and purified, as seen in SDS-PAGE gel, crystallized and had its three dimensional structure (3D) determined in complex with NAD+, a sulphate ion and d-galactonic acid, therefore, a type of 'GAA site'. It is the first GAPDH structure to show this chemical type in this site and how this protein can bind an acid derived from oxidation of a linear hexose.


Subject(s)
Paracoccidioides , Paracoccidioidomycosis , Animals , Paracoccidioides/genetics , Paracoccidioidomycosis/epidemiology , Paracoccidioidomycosis/microbiology , Brazil/epidemiology , Sugars
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