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Increased susceptibility against Cryptococcus neoformans of lupus mouse models (pristane-induction and FcGRIIb deficiency) is associated with activated macrophage, regardless of genetic background
Saowapha Surawut , Jiradej Makjaroen , Arthid Thim-uam , Jutamas Wongphoom , Tanapat Palaga , Prapaporn Pisitkun , Ariya Chindamporn , Asada Leelahavanichkul
J. Microbiol. 2019;57(1):45-53.   Published online November 19, 2018
DOI: https://doi.org/10.1007/s12275-019-8311-8
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  • 16 Web of Science
  • 13 Crossref
AbstractAbstract
The severity of cryptococcosis in lupus from varying geneticbackgrounds might be different due to the heterogeneity of lupus-pathogenesis. This study explored cryptococcosis in lupus mouse models of pristane-induction (normal geneticbackground) and FcGRIIb deficiency (genetic defect). Because the severity of lupus nephritis, as determined by proteinuria and serum creatinine, between pristane and FcGRIIb-/- mice were similar at 6-month-old, Cryptococcus neoformans was intravenously administered in 6-month-old mice and were age-matched with wild-type. Indeed, the cryptococcosis disease severity, as evaluated by mortality rate, internal-organ fungal burdens and serum cytokines, between pristane and FcGRIIb-/- mice was not different. However, the severity of cryptococcosis in wild-type was less severe than the lupus mice. On the other hand, phagocytosis activity of peritoneal macrophages from lupus mice (pristane and FcGRIIb-/-) was more predominant than the wild-type without the difference in macrophage killing-activity among these groups. In addition, the number of active T helper cells (Th-cell) in the spleen, including Th-cells with intracellular IFN-γ, from lupus mice (pristane and FcGRIIb-/-) was higher than wildtype. Moreover, these active Th-cells were even higher after 2 weeks of cryptococcal infection. These data support enhanced macrophage activation through prominent Th-cells in both lupus models. In conclusion, an increased susceptibility of cryptococcosis in both lupus models was independent to genetic background. This might due to Th-cell enhanced macrophage phagocytosis with the interference of macrophage killing activity from Cryptococcal immune-evasion properties.

Citations

Citations to this article as recorded by  
  • Comparative time-series analyses of gut microbiome profiles in genetically and chemically induced lupus-prone mice and the impacts of fecal transplantation
    Piraya Chatthanathon, Asada Leelahavanichkul, Thanya Cheibchalard, Alisa Wilantho, Nattiya Hirankarn, Naraporn Somboonna
    Scientific Reports.2024;[Epub]     CrossRef
  • Fungal microbiome in gut of systemic lupus erythematosus (SLE)-prone mice (pristane and FCGRIIb deficiency), a possible impact of fungi in lupus
    Thanya Cheibchalard, Asada Leelahavanichkul, Piraya Chatthanathon, Piriya Klankeo, Nattiya Hirankarn, Naraporn Somboonna, Veena Taneja
    PLOS ONE.2024; 19(12): e0314662.     CrossRef
  • Obesity Exacerbates Lupus Activity in Fc Gamma Receptor IIb Deficient Lupus Mice Partly through Saturated Fatty Acid-Induced Gut Barrier Defect and Systemic Inflammation
    Kanyarat Udompornpitak, Awirut Charoensappakit, Kritsanawan Sae-Khow, Thansita Bhunyakarnjanarat, Cong Phi Dang, Wilasinee Saisorn, Peerapat Visitchanakun, Pornpimol Phuengmaung, Tanapat Palaga, Patcharee Ritprajak, Somkanya Tungsanga, Asada Leelahavanich
    Journal of Innate Immunity.2023; 15(1): 240.     CrossRef
  • Myracrodruon urundeuva lectins present anticancer and anticryptococcal activities with low cytotoxic or genotoxic effects
    Larissa Cardoso Corrêa de Araújo Videres, Matheus Cavalcanti de Barros, Thamara Figueiredo Procópio, Gustavo Ramos Salles Ferreira, Pollyanna Michelle da Silva, André Mariano Batista, Maria Madalena Pessoa Guerra, Marilene Henning Vainstein, Jaciana dos S
    South African Journal of Botany.2023; 157: 614.     CrossRef
  • Enhanced lupus progression in alcohol‐administered Fc gamma receptor‐IIb–deficiency lupus mice, partly through leaky gut‐induced inflammation
    Wiwat Chancharoenthana, Supitcha Kamolratanakul, Phatcharapon Yiengwattananon, Pornpimol Phuengmaung, Kanyarat Udompornpitak, Wilasinee Saisorn, Pratsanee Hiengrach, Peerapat Visitchanakun, Marcus J Schultz, Asada Leelahavanichkul
    Immunology & Cell Biology.2023; 101(8): 746.     CrossRef
  • A Comparison Between 1 Day versus 7 Days of Sepsis in Mice with the Experiments on LPS-Activated Macrophages Support the Use of Intravenous Immunoglobulin for Sepsis Attenuation
    Jiradej Makjaroen, Arthid Thim-Uam, Cong Phi Dang, Trairak Pisitkun, Poorichaya Somparn, Asada Leelahavanichkul
    Journal of Inflammation Research.2021; Volume 14: 7243.     CrossRef
  • Quantum dots conjugated to lectins from Schinus terebinthifolia leaves (SteLL) and Punica granatum sarcotesta (PgTeL) as potential fluorescent nanotools for investigating Cryptococcus neoformans
    Abdênego Rodrigues da Silva, Weslley Felix de Oliveira, Pollyanna Michelle da Silva, Leydianne Leite de Siqueira Patriota, Robson Raion de Vasconcelos Alves, Ana Patrícia Silva de Oliveira, Maria Tereza dos Santos Correia, Patrícia Maria Guedes Paiva, Mar
    International Journal of Biological Macromolecules.2021; 192: 232.     CrossRef
  • Lipopolysaccharide-Enhanced Responses against Aryl Hydrocarbon Receptor in FcgRIIb-Deficient Macrophages, a Profound Impact of an Environmental Toxin on a Lupus-Like Mouse Model
    Kanyarat Udompornpitak, Thansita Bhunyakarnjanarat, Awirut Charoensappakit, Cong Phi Dang, Wilasinee Saisorn, Asada Leelahavanichkul
    International Journal of Molecular Sciences.2021; 22(8): 4199.     CrossRef
  • Prominent Indomethacin-Induced Enteropathy in Fcgriib Defi-cient lupus Mice: An Impact of Macrophage Responses and Immune Deposition in Gut
    Thansita Bhunyakarnjanarat, Kanyarat Udompornpitak, Wilasinee Saisorn, Bhumdhanin Chantraprapawat, Peerapat Visitchanakun, Cong Phi Dang, Jiraphorn Issara-Amphorn, Asada Leelahavanichkul
    International Journal of Molecular Sciences.2021; 22(3): 1377.     CrossRef
  • A Synergy Between Endotoxin and (1→3)-Beta-D-Glucan Enhanced Neutrophil Extracellular Traps in Candida Administered Dextran Sulfate Solution Induced Colitis in FcGRIIB-/- Lupus Mice, an Impact of Intestinal Fungi in Lupus
    Supichcha Saithong, Wilasinee Saisorn, Peerapat Visitchanakun, Kritsanawan Sae-khow, Direkrit Chiewchengchol, Asada Leelahavanichkul
    Journal of Inflammation Research.2021; Volume 14: 2333.     CrossRef
  • A1 and A2A adenosine receptors play a protective role to reduce prevalence of autoimmunity following tissue damage
    Reut Riff, Oshri Naamani, Julia Mazar, Yosef S Haviv, Cidio Chaimovitz, Amos Douvdevani
    Clinical & Experimental Immunology.2021; 205(3): 278.     CrossRef
  • Acute Kidney Injury Induced Lupus Exacerbation Through the Enhanced Neutrophil Extracellular Traps (and Apoptosis) in Fcgr2b Deficient Lupus Mice With Renal Ischemia Reperfusion Injury
    Wilasinee Saisorn, Supichcha Saithong, Pornpimol Phuengmaung, Kanyarat Udompornpitak, Thansita Bhunyakarnjanarat, Peerapat Visitchanakun, Awirut Chareonsappakit, Prapaporn Pisitkun, Direkrit Chiewchengchol, Asada Leelahavanichkul
    Frontiers in Immunology.2021;[Epub]     CrossRef
  • Syk inhibitor attenuates inflammation in lupus mice from FcgRIIb deficiency but not in pristane induction: the influence of lupus pathogenesis on the therapeutic effect
    Jiraphorn Issara-Amphorn, Naraporn Somboonna, Prapaporn Pisitkun, Nattiya Hirankarn, Asada Leelahavanichkul
    Lupus.2020; 29(10): 1248.     CrossRef
The in vitro and in vivo efficacy of fluconazole in combination with farnesol against Candida albicans isolates using a murine vulvovaginitis model
Aliz Bozó , Marianna Domán , László Majoros , Gábor Kardos , István Varga , Renátó Kovács
J. Microbiol. 2016;54(11):753-760.   Published online October 29, 2016
DOI: https://doi.org/10.1007/s12275-016-6298-y
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AbstractAbstract
Farnesol is a quorum-sensing molecule that inhibits biofilm formation in Candida albicans. Previous in vitro data suggest that, in combination with certain antifungals, farnesol may have an adjuvant anti-biofilm agent. However, the in vivo efficacy of farnesol is very questionable. Therefore, the in vitro and in vivo activity of fluconazole combined with farnesol was evaluated against C. albicans biofilms using fractional inhibitory concentration index (FICI) determination, time-kill experiments and a murine vulvovaginitis model. The median biofilm MICs of fluconazole-sensitive C. albicans isolates ranged between 4 -> 512 mg/L and 150–300 μM for fluconazole and farnesol, respectively. These values were 512 -> 512 mg/L and > 300 μM for fluconazole-resistant clinical isolates. Farnesol decreased the median MICs of fluconazole by 2-64-fold for biofilms. Based on FICI, synergistic interaction was observed only in the case of the sessile SC5314 reference strain (FICIs: 0.16–0.27). In time-kill studies, only the 512 mg/L fluconazole and 512 mg/L fluconazole + 75 μM farnesol reduced biofilm mass significantly at each time point in the case of all isolates. The combination reduced the metabolic activity of biofilms for all isolates in a concentration- and time-dependent manner. Our findings revealed that farnesol alone was not protective in a murine vulvovaginitis model. Farnesol was not beneficial in combination with fluconazole for fluconazole-susceptible isolates, but partially increased fluconazole activity against one fluconazole- resistant isolate, but not the other one.

Citations

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  • Exploring the Potential of Farnesol as a Novel Antifungal Drug and Related Challenges
    Dongming Zheng, Linlan Yang, Yuxin Bai, Jiangyan Yong, Yan Li
    Current Infectious Disease Reports.2024; 26(4): 123.     CrossRef
  • Total transcriptome response for tyrosol exposure in Aspergillus nidulans
    Ágnes Jakab, Kinga Csillag, Károly Antal, Imre Boczonádi, Renátó Kovács, István Pócsi, Tamás Emri
    Fungal Biology.2024; 128(2): 1664.     CrossRef
  • Combination of Farnesol with Common Antifungal Drugs: Inhibitory Effect against Candida Species Isolated from Women with RVVC
    Fatemeh Nikoomanesh, Mahsa Falahatinejad, Lucia Černáková, André Luis Souza dos Santos, Shahla Roudbar Mohammadi, Mitra Rafiee, Célia Fortuna Rodrigues, Maryam Roudbary
    Medicina.2023; 59(4): 743.     CrossRef
  • Antifungal Activity and Type of Interaction of Melissa officinalis Essential Oil with Antimycotics against Biofilms of Multidrug-Resistant Candida Isolates from Vulvovaginal Mucosa
    Marina Ranđelović, Marina Dimitrijević, Suzana Otašević, Ljiljana Stanojević, Milica Išljamović, Aleksandra Ignjatović, Valentina Arsić-Arsenijević, Zorica Stojanović-Radić
    Journal of Fungi.2023; 9(11): 1080.     CrossRef
  • Application of natamycin and farnesol as bioprotection agents to inhibit biofilm formation of yeasts and foodborne bacterial pathogens in apple juice processing lines
    María del Rosario Agustín, María Clara Tarifa, María Soledad Vela-Gurovic, Lorena Inés Brugnoni
    Food Microbiology.2023; 109: 104123.     CrossRef
  • Hexyl-Aminolevulinate Ethosomes: a Novel Antibiofilm Agent Targeting Zinc Homeostasis in Candida albicans
    Yingzhe Wang, Wei Long, Feiyin Zhang, Meimei Zhang, Kang Zeng, Xiaoliang Zhu, Gustavo H. Goldman
    Microbiology Spectrum.2022;[Epub]     CrossRef
  • Farnesol Boosts the Antifungal Effect of Fluconazole and Modulates Resistance in Candida auris through Regulation of the CDR1 and ERG11 Genes
    Jaroslava Dekkerová, Lucia Černáková, Samuel Kendra, Elisa Borghi, Emerenziana Ottaviano, Birgit Willinger, Helena Bujdáková
    Journal of Fungi.2022; 8(8): 783.     CrossRef
  • Application of Natamycin and Farnesol as Biocontrol Agents of Multi-Species Biofilms on Industrial Surfaces in Apple Juice
    María del Rosario Agustín, Maria Clara Tarifa, Maria Soledad Vela-Gurovic, Lorena Ines Brugnoni
    SSRN Electronic Journal .2022;[Epub]     CrossRef
  • Transcriptional Profiling of the Candida auris Response to Exogenous Farnesol Exposure
    Ágnes Jakab, Noémi Balla, Ágota Ragyák, Fruzsina Nagy, Fruzsina Kovács, Zsófi Sajtos, Zoltán Tóth, Andrew M. Borman, István Pócsi, Edina Baranyai, László Majoros, Renátó Kovács, Aaron P. Mitchell
    mSphere.2021;[Epub]     CrossRef
  • Farnesol: An approach on biofilms and nanotechnology
    Adelaide Fernandes Costa, Lívia do Carmo Silva, Andre Correa Amaral
    Medical Mycology.2021; 59(10): 958.     CrossRef
  • Modulating the Antifungal Activity of Antimycotic Drugs with Farnesol
    N. P. Sachivkina, A. N. Senyagin, I. V. Podoprigora, D. G. Brown, V. V. Vissarionova
    Drug development & registration.2021; 10(4): 162.     CrossRef
  • In vivo antifungal activities of farnesol combined with antifungal drugs against murine oral mucosal candidiasis
    Chengxi Li, Zheng Xu, Siqi Liu, Yun Huang, Wei Duan, Xin Wei
    Biofouling.2021; 37(8): 818.     CrossRef
  • Analysis of biofilm formation bySporothrix schenckii
    Rocío Sánchez-Herrera, Lérida Liss Flores-Villavicencio, Juan Luis Pichardo-Molina, José Pedro Castruita-Domínguez, Xochilt Aparicio-Fernández, Myrna Sabanero López, Julio Cesar Villagómez-Castro
    Medical Mycology.2021; 59(1): 31.     CrossRef
  • Antifungal activity of farnesol incorporated in liposomes and associated with fluconazole
    Camila Fonseca Bezerra, José Geraldo de Alencar Júnior, Rosilaine de Lima Honorato, Antonia Thassya Lucas dos Santos, Josefa Carolaine Pereira da Silva, Taís Gusmão da Silva, Antonio Linkoln Alves Borges Leal, Janaína Esmeraldo Rocha, Thiago Sampaio de Fr
    Chemistry and Physics of Lipids.2020; 233: 104987.     CrossRef
  • Optimum Inhibition of Amphotericin-B-Resistant Candida albicans Strain in Single- and Mixed-Species Biofilms by Candida and Non-Candida Terpenoids
    Hidaya F. Z. Touil, Kebir Boucherit, Zahia Boucherit-Otmani, Ghalia Kohder, Mohamed Madkour, Sameh S. M. Soliman
    Biomolecules.2020; 10(2): 342.     CrossRef
  • In vitro and in vivo Effect of Exogenous Farnesol Exposure Against Candida auris
    Fruzsina Nagy, Eszter Vitális, Ágnes Jakab, Andrew M. Borman, Lajos Forgács, Zoltán Tóth, László Majoros, Renátó Kovács
    Frontiers in Microbiology.2020;[Epub]     CrossRef
  • Fungal Quorum-Sensing Molecules: A Review of Their Antifungal Effect against Candida Biofilms
    Renátó Kovács, László Majoros
    Journal of Fungi.2020; 6(3): 99.     CrossRef
  • Fungal infection models: Current progress ofex vivomethods
    Priscilla Maciel Quatrin, Daiane Flores Dalla Lana, Taís Fernanda Andrzejewski Kaminski, Alexandre Meneghello Fuentefria
    Mycoses.2019; 62(10): 860.     CrossRef
  • Effect of quorum sensing molecules and natamycin on biofilms of Candida tropicalis and other yeasts isolated from industrial juice filtration membranes
    M.d.R. Agustín, F.R. Viceconte, M.S. Vela Gurovic, A. Costantino, L.I. Brugnoni
    Journal of Applied Microbiology.2019; 126(6): 1808.     CrossRef
  • Farnesol inhibits planktonic cells and antifungal-tolerant biofilms of Trichosporon asahii and Trichosporon inkin
    Rossana de Aguiar Cordeiro, Lívia Maria Galdino Pereira, José Kleybson de Sousa, Rosana Serpa, Ana Raquel Colares Andrade, Fernando Victor Monteiro Portela, Antônio José de Jesus Evangelista, Jamille Alencar Sales, Ana Luiza Ribeiro Aguiar, Patrícia Bruna
    Medical Mycology.2019; 57(8): 1038.     CrossRef
  • In Vivo Applicability of Neosartorya fischeri Antifungal Protein 2 (NFAP2) in Treatment of Vulvovaginal Candidiasis
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    Antimicrobial Agents and Chemotherapy.2019;[Epub]     CrossRef
  • Biofilms and vulvovaginal candidiasis
    Carmen Rodríguez-Cerdeira, Miguel Carnero Gregorio, Alberto Molares-Vila, Adriana López-Barcenas, Gabriella Fabbrocini, Brunilda Bardhi, Ardiana Sinani, Elena Sánchez-Blanco, Roberto Arenas-Guzmán, Rigoberto Hernandez-Castro
    Colloids and Surfaces B: Biointerfaces.2019; 174: 110.     CrossRef
  • Photodynamic Inactivation Potentiates the Susceptibility of Antifungal Agents against the Planktonic and Biofilm Cells of Candida albicans
    Mu-Ching Huang, Mandy Shen, Yi-Jhen Huang, Hsiao-Chi Lin, Chin-Tin Chen
    International Journal of Molecular Sciences.2018; 19(2): 434.     CrossRef
  • Antimicrobial photodynamic therapy as a new approach for the treatment of vulvovaginal candidiasis: preliminary results
    Maria Eugênia Simões Onofre de Santi, Renato Araujo Prates, Cristiane Miranda França, Rúbia Garcia Lopes, Aline Silva Sousa, Luis Rodolfo Ferreira, Sandra Kalil Bussadori, Adjaci Uchoa Fernandes, Alessandro Melo Deana
    Lasers in Medical Science.2018; 33(9): 1925.     CrossRef
  • In vitro antifungal susceptibility patterns of planktonic and sessile Candida kefyr clinical isolates
    Fruzsina Nagy, Aliz Bozó, Zoltán Tóth, Lajos Daróczi, László Majoros, Renátó Kovács
    Medical Mycology.2018; 56(4): 493.     CrossRef
  • The Structure-Activity Relationship of Pterostilbene Against Candida albicans Biofilms
    Dan-Dan Hu, Ri-Li Zhang, Yong Zou, Hua Zhong, En-Sheng Zhang, Xiang Luo, Yan Wang, Yuan-Ying Jiang
    Molecules.2017; 22(3): 360.     CrossRef
  • Antifungal activity of tyrosol and farnesol used in combination against Candida species in the planktonic state or forming biofilms
    D.R. Monteiro, L.S. Arias, R.A. Fernandes, L.F. Deszo da Silva, M.O.V.F. de Castilho, T.O. da Rosa, A.P.M. Vieira, F.G. Straioto, D.B. Barbosa, A.C.B. Delbem
    Journal of Applied Microbiology.2017; 123(2): 392.     CrossRef
Research Support, Non-U.S. Gov'ts
Newly Identified CpG ODNs, M5-30 and M6-395, Stimulate MouseNewly Identified CpG ODNs, M5-30 and M6-395, Stimulate Mouse Immune Cells to Secrete TNF-α and Enhance Th1-Mediated Immunity
Sun-Shim Choi , Eunkyung Chung , Yu-Jin Jung
J. Microbiol. 2010;48(4):512-517.   Published online August 20, 2010
DOI: https://doi.org/10.1007/s12275-010-0053-6
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  • 13 Scopus
AbstractAbstract
Bacterial CpG motifs are known to induce both innate and adaptive immunity in infected hosts via toll-like receptor 9 (TLR9). Because small oligonucleotides (ODNs) mimicking bacterial CpG motifs are easily synthesized, they have found use as immunomodulatory agents in a number of disease models. We have developed a novel bioinformatics approach to identify effective CpG ODN sequences and evaluate their function as TLR9 ligands in a murine system. Among the CpG ODNs we identified, M5-30 and M6-395 showed significant ability to stimulate TNF-α and IFN-γ production in a mouse macrophage cell line and mouse splenocytes, respectively. We also found that these CpG ODNs activated cells through the canonical NF-κB signaling pathway. Moreover, both CpG ODNs were able to induce Th1-mediated immunity in Mycobacterium tuberculosis (Mtb)-infected mice. Our results demonstrate that M5-30 and M6-395 function as TLR9-specific ligands, making them useful in the study of TLR9 functionality and signaling in mice.
In Vivo Studies with a Candida tropicalis Isolate Exhibiting Paradoxical Growth In Vitro in the Presence of High Concentration of Caspofungin
Sedigh Bayegan , Laszlo Majoros , Gabor Kardos , Adam Kemény-Beke , Cecilia Miszti , Renato Kovacs , Rudolf Gesztelyi
J. Microbiol. 2010;48(2):170-173.   Published online May 1, 2010
DOI: https://doi.org/10.1007/s12275-010-9221-y
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AbstractAbstract
We investigated the activity of caspofungin against a Candida tropicalis clinical isolate showing paradoxical growth in vitro. BALB/c mice immunosuppressed by cyclophosphamide were infected intraperitoneally using 107 CFU/mouse. Caspofungin was administered intraperitoneally once daily for 5 days or as a single dose using the following doses: 0.12, 0.25, 1, 2, 3, 5, and 15 mg/kg. The single dose of caspofungin was effective only at 5 and 15 mg/kg concentrations (100% survival). Five-day caspofungin treatment led to 100% survival at doses of 1 mg/kg or higher. Caspofungin treatment significantly decreased the number of viable yeasts in the peritoneal lavage samples as well as in the infected abscesses at doses 1, 3, 5, and 15 mg/kg caspofungin as compared to the untreated control (P<0.001 in all cases), and even to the group treated with 0.12 mg/kg caspofungin (P<0.05 in all cases). At 2 mg/kg caspofungin dose, sterilization of the internal organs was reproducibly incomplete, suggesting that the role of paradoxical growth in the late clinical failure cannot be excluded.

Citations

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    Nicholas D Beyda, Russell E Lewis, Kevin W Garey
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Comparative Analysis of Immune Responses to Mycobacterium abscessus Infection and Its Antigens in Two Murine Models
Bo-Young Jeon , Jeongyeon Kwak , Seung-Sub Lee , SangNae Cho , Chul Jae Won , Jin Man Kim , Sung Jae Shin
J. Microbiol. 2009;47(5):633-640.   Published online October 24, 2009
DOI: https://doi.org/10.1007/s12275-009-0139-1
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  • 10 Crossref
AbstractAbstract
Mycobacterium abscessus has been identified as an emerging pulmonary pathogen in humans. Because little is known regarding immune responses elicited by M. abscessus or its antigens, immunological responses were studied in two murine models subjected to intravenous (high-dose or systemic infection) or pulmonary (low-dose or local infection) inoculation with M. abscessus ATCC 19977. An overall comparison between the two models showed similar patterns of bacterial survival and host immune responses. The colonization of M. abscessus was the highest at 5 days post-infection (dpi) and its elimination was positively correlated with cell-mediated immunity in both challenges. However, an inverse relationship was observed between progressive inflammation and mycobacterial colonization levels in mice infected with a high dose at 14 dpi. Regarding antigens, culture filtrate (CF) of M. abscessus strongly induced IFN-γ secretion, whereas cellular extract (CE) antigen elicited strong antibody responses. The antibody response to M. abscessus antigens in mice subjected to low-dose infection increased when the cellular immune response decreased over 14 dpi. However, the antibody response for the high-dose infection increased promptly after the infection. In comparison of cytokine expression in lung homogenates after M. abscessus infection, Th1 and Th2 cytokines increased simultaneously in the high-dose infection, whereas only cell-mediated immunity developed in the low-dose pulmonary infection. These findings not only enhance our understanding of the immune response to M. abscessus infection according to systemic or pulmonary infection, but may also aid in immunological diagnosis and vaccine development.

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