Published ahead of print on March 22, 2007, doi:10.1164/rccm.200602-256OC
© 2007 American Thoracic Society doi: 10.1164/rccm.200602-256OC
The Role of CC Chemokine Receptor 6 in Host Defense in a Model of Invasive Pulmonary Aspergillosis1 Division of Pulmonary and Critical Care Medicine, University of Texas Southwestern Medical Center, Dallas, Texas; 2 Department of Microbiology, University of Virginia, Charlottesville, Virginia; 3 Immunobiology Center, Mount Sinai School of Medicine, New York, New York; and 4 Division of Pulmonary and Critical Care Medicine, University of Virginia, Charlottesville, Virginia Correspondence and requests for reprints should be addressed to Borna Mehrad, M.D., Box 800546, University of Virginia School of Medicine, Charlottesville, VA 22908. E-mail: mehrad{at}virginia.edu
Rationale: Invasive aspergillosis is a severe fungal infection afflicting immunocompromised patients, particularly patients with neutrophil defects. CCR6, a Objectives: To test the hypothesis that CCR6-mediated leukocyte recruitment is necessary for effective host defense in neutropenic hosts with invasive pulmonary aspergillosis. Methods: Neutropenic wild-type mice and mice with targeted deletion of CCR6 were infected with Aspergillus fumigatus. The host responses to the infection were compared in vivo and leukocyte responses to the fungus were examined in vitro. Measurements and Main Results: In the context of infection, immature myeloid DCs were the major population of CCR6-expressing cells in the lungs. As compared with wild-type animals, CCR6-deficient mice developed a more severe infection when challenged with A. fumigatus conidia, as documented by a higher mortality rate and greater lung fungal burden. This was associated with reduced accumulation of DCs in the lungs. CCR6-deficient and wild-type DCs did not differ in their phagocytosis of conidia, cytokine response, or maturation in vitro. In adoptive transfer experiments, however, DCs from CCR6-deficient donors showed lesser accumulation in the lungs of infected mice as compared with wild-type cells, and transfer of wild-type, but not CCR6-deficient, DCs resulted in attenuated severity of infection in CCR6-deficient recipients. Conclusions: Taken together, these results implicate CCR6-mediated DC influx into the lung in the initial host defense in invasive aspergillosis.
Key Words: CCR6 protein, mouse dendritic cells fungi, filamentous pneumonia
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